STEPHANIE M LAKE-MELTON

BELOIT, WI
NPI1104113141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  2776-23)
Enumeration Date2011-06-28
Last Update Date2022-10-03
Business Address
STEPHANIE M LAKE-MELTON PA-C
74 ECLIPSE CTR
BELOIT, WI 53511-3550
Phone number: 608-361-0331
Mailing Address
STEPHANIE M LAKE-MELTON PA-C
74 ECLIPSE CTR
BELOIT, WI 53511-3550
Phone number: 608-361-0331