Individual provider · Type 1 NPI

Stephanie M. Lake-Melton, PA-C

Physician Assistant · Beloit, WI

NPI number 1104113141 Active

Practice location

74 Eclipse Ctr
Beloit, WI 53511-3550

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2776-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104113141

Stephanie M. Lake-Melton, PA-C's National Provider Identifier is 1104113141, issued on Jun 28, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Beloit, WI. The record was last updated on Oct 3, 2022.