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

LAKESIDE FAMILY PRACTICE

Active Organization

LAKESIDE FAMILY PRACTICE is a Family Nurse Practitioner organization located in KENOSHA, Wisconsin. NPI 1831698430 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · KENOSHA, WI

Registration Details

NPI Number
1831698430
Provider Type
Organization
NPI Issued
Feb 8, 2018 (8.5360231354333 yrs)
Last Updated
Feb 8, 2018
Licenses
6190-33 (WI)
2011006054 (WI)

Practice Information

Address
3200 SHERIDAN RD STE 104
KENOSHA, WI, 531401921
Browse WI providers · Browse ZIP 53140
Phone
2622251014
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in KENOSHA, WI

Name NPI
WISCONSIN TELE-MED NETWORK 1568821841
DANACARE LLC 1326813825
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.