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

Stephanie M Lake-Melton, PA-C

Individual provider Physician Assistant · NPI 1104113141

Stephanie M Lake-Melton, PA-C is a Physician Assistant in Beloit, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

74 Eclipse Ctr
Beloit, WI 53511-3550
Phone: (608) 361-0331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2776-23 (WI)

Record details

NPI number1104113141
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

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