Individual
MEGAN LAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3807 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8300
Mailing address
3807 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4013
—
Other
Enumeration date
01/18/2018
Last updated
02/13/2018
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