Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lara N Mrak, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1063832608

Lara N Mrak, MD is a Diagnostic Radiology in Hartford, Wisconsin. Graduated from University of Arkansas College of Medicine in 2014, 12 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Trained at
University of Arkansas College of Medicine
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1032 E Sumner St
Hartford, WI 53027-1608
Phone: (262) 673-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 Highland Ave, Madison, WI 53792-0001 — (608) 263-7540
  • W231n1440 Corporate Ct, Waukesha, WI 53186-1303 — (262) 896-6000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 66081 - 20 (WI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 66081 (WI)

Record details

NPI number1063832608
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2014
Last updated in NPPESJune 23, 2024
Certification dateJune 23, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare