NPI 1003113820

David R Lake, ATC

Practitioner Athletic Trainer Franklin, WI

Practice location

Address: 8917 S 77th St, Franklin, WI 53132-9784
Phone: (414) 698-3730

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1003113820
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2011
Record last updated: 26 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.