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Madison Lake, PA-C
NPI 1629656806 · on the registry since 2021
Practice
- Address
- 1108 S 9th St
Grand Forks, ND 58201 - Phone
- (218) 689-9517
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Sex
- Female
- Record last updated
- 2026-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota