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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKESHORES OUTPATIENT CLINIC

Active Organization

LAKESHORES OUTPATIENT CLINIC is a Mental Health Clinic organization located in KENOSHA, Wisconsin. NPI 1629111943 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · KENOSHA, WI

Registration Details

NPI Number
1629111943
Provider Type
Organization
NPI Issued
Feb 15, 2007 (19.469229534272 yrs)
Last Updated
Aug 22, 2020
License
2605 (WI)

Practice Information

Address
3917 47TH AVE
KENOSHA, WI, 531441956
Browse WI providers · Browse ZIP 53144
Phone
2626569975
Fax
2626569974
Primary Specialty
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.