Individual
KATHLEEN LYNN LAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5700
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5700
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59950
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578852620
—
WI
Enumeration date
03/29/2011
Last updated
09/13/2017
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