Provider Profile

Madison Lake, PA-C

Unclaimed Profile

About Madison Lake

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Specialty

Physician Assistant (Primary)

Credentials & Licensing

NPI1629656806
NPI issued03/30/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What does Madison Lake specialize in?

Madison Lake is a physician assistant in Grand Forks, ND. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Madison Lake located?

Madison Lake is listed at 1108 S 9Th St, Grand Forks, ND 58201. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Madison Lake's phone number?

The number on file is (218) 689-9517. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Madison Lake's NPI number?

Madison Lake's National Provider Identifier is 1629656806. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Madison Lake been practicing?

Madison Lake has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Madison Lake confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Madison Lake. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.