Edward Lake, MD
Edward Lake, MD is a Nephrology in Oshkosh, Wisconsin. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1987, 39 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 39
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- WI
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
855 N Westhaven DrOshkosh, WI 54904-7668
Phone: (920) 303-5626
Fax: (920) 303-5632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X · Licence 29465 (WI) |
|---|
Record details
| NPI number | 1336131101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 18, 2005 |
| Last updated in NPPES | October 31, 2023 |
| Certification date | October 31, 2023 |
| Mailing address | Po Box 735044, Chicago, IL 60673-5044 |
Medicare enrollment
| Medicare specialty | NEPHROLOGY |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 1987 (39 years in practice) |
| Group practice | Aurora Medical Group, Inc. — 3741 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Oshkosh
-
Dr. Tarundeep Kaur, MD
855 N Westhaven Dr, Oshkosh, WI 54904-7668 · (920) 303-8700
-
Alan Moreno, MD
855 N Westhaven Dr, Oshkosh, WI 54904-7668 · (920) 303-8700