Search › Wisconsin › 363LP2300X
Jacqueline Lake, NP
NPI 1922978139 · on the registry since 2025
Practice
- Address
- 1550 N Warren Ave Apt 306
Milwaukee, WI 53202 - Phone
- (443) 306-9196
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-11
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 Wisconsin