Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE COUNTRY PEDIATRICS SC
Active OrganizationLAKE COUNTRY PEDIATRICS SC is a Pediatrics organization located in OCONOMOWOC, Wisconsin. NPI 1801849963 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1801849963
- Provider Type
- Organization
- NPI Issued
- May 18, 2006 (20.241201240272 yrs)
- Last Updated
- Aug 15, 2011
- License
-
35710 (WI)
Practice Information
- Address
-
970 S SILVER LAKE STSTE. 102OCONOMOWOC, WI, 530663802Browse WI providers · Browse ZIP 53066
- Phone
- 2625697100
- Fax
- 2625676295
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Organizations in OCONOMOWOC, WI
| Name | NPI |
|---|---|
| PHILIP M MARDEN MD SC | 1700996576 |
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.