Individual provider · Type 1 NPI

Peter Mathew Lake, MD

Child & Adolescent Psychiatry Physician · Oconomowoc, WI

NPI number 1306830377 Active

Practice location

34700 Valley Rd, Rogers Memorial Hospital
Oconomowoc, WI 53066-4500

Call (262) 646-4411 Map

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804X312115020 (WI)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1306830377

Peter Mathew Lake, MD's National Provider Identifier is 1306830377, issued on Sep 7, 2005. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Oconomowoc, WI. The record was last updated on Oct 13, 2021.