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

Mr. Peter Mathew Lake, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1306830377

Mr. Peter Mathew Lake, MD is a Child & Adolescent Psychiatry Physician in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
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

34700 Valley Rd Rogers Memorial Hospital
Oconomowoc, WI 53066-4500
Phone: (262) 646-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 312115020 (WI)

Record details

NPI number1306830377
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address34700 Valley Rd, Oconomowoc, WI 53066-4500

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