Lake, Ulrich
Lake, Ulrich is an individual health care provider with primary practice located at 100 River Place Ste 110, Madison WI 53716. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lake, Ulrich can be contacted via phone (608) 222-6160.Contact Information
Primary practice address
100 River Place Ste 110
Madison WI 53716
Phone: (608) 222-6160
Fax: (608) 222-6248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4288015 | Wisconsin |
Profile Details
| NPI number | 1821187683 |
|---|---|
| LBN Legal business name | Lake, Ulrich |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821187683 | NPPES |
| Wisconsin | MEDICAID | 33762600 |
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