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

LAKE COUNTRY PRIVATE MEDICAL, S.C.

Active Organization

LAKE COUNTRY PRIVATE MEDICAL, S.C. is a Internal Medicine organization located in OCONOMOWOC, Wisconsin. NPI 1720351919 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · OCONOMOWOC, WI

Registration Details

NPI Number
1720351919
Provider Type
Organization
NPI Issued
Feb 17, 2012 (14.498400606518 yrs)
Last Updated
May 18, 2012
License
48412 (WI)

Practice Information

Address
1185 CORPORATE CENTER DR STE 300
OCONOMOWOC, WI, 530664887
Browse WI providers · Browse ZIP 53066
Phone
2625675190
Fax
2625675259
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in OCONOMOWOC, WI

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.