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MR. PETER MATHEW LAKE MD
NPI 1306830377
Psychiatry & Neurology - Child & Adolescent Psychiatry in Oconomowoc, WI

Active since September 07, 2005
34700 VALLEY RD, ROGERS MEMORIAL HOSPITAL, OCONOMOWOC, WI 53066(262) 646-4411 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Peter Mathew Lake Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER MATHEW LAKE MD (NPI 1306830377) is an individual child & adolescent psychiatry provider in Oconomowoc, Wisconsin, licensed in Wisconsin (312115020) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1306830377
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMR. PETER MATHEW LAKECredential: MD
Location Address34700 VALLEY RD, ROGERS MEMORIAL HOSPITALOconomowoc, WI 53066-4500
Mailing Address34700 Valley RdOconomowoc, WI 53066-4500 · (262) 646-4411 · Fax (262) 646-1049
Phone(262) 646-4411
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1306830377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WI · 312115020
Definition
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.
34700 VALLEY RD, Oconomowoc, WI 53066
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Other Identifiers 1

Medicaid31704700WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODI TOMPITCH APNP
Clinical Nurse Specialist (Psychiatric/Mental Health)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (414) 587-1430
ROGERS MEMORIAL HOSPITAL INCORPORATED
Psychiatric Hospital
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (800) 767-4411
ERIK J ULLAND M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-4411
JESSICA SHUMOW APNP
Nurse Practitioner (Family)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-4411
RICK WOODWARD PA
Physician Assistant
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (800) 767-4411
ELIZABETH A HAMLIN MD
Psychiatry & Neurology (Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-4411
CUONG TIEU M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-1391
DR. ANDREW M BUTCHART D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-1391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Lake's NPI number?

The NPI number for Peter Lake is 1306830377. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Peter Lake located?

Peter Lake practices at 34700 Valley Rd Rogers Memorial Hospital, Oconomowoc, WI 53066. The listed phone number is (262) 646-4411.

What is Peter Lake's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Peter Lake was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.