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1104113141
STEPHANIE M LAKE-MELTON
BELOIT, WI
NPI
1104113141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2776-23)
Enumeration Date
2011-06-28
Last Update Date
2022-10-03
Business Address
STEPHANIE M LAKE-MELTON PA-C
74 ECLIPSE CTR
BELOIT, WI 53511-3550
Phone number: 608-361-0331
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Mailing Address
STEPHANIE M LAKE-MELTON PA-C
74 ECLIPSE CTR
BELOIT, WI 53511-3550
Phone number: 608-361-0331
Copy
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