Lake Country Private Medical, S.C.

LBN: Lake Country Private Medical, S.C.
Lake Country Private Medical, S.C. is an health care organization with primary practice located at 1185 Corporate Center Dr Ste 300 , Oconomowoc WI 53066-4887. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Lake Country Private Medical, S.C. can be contacted via phone (262) 567-5190, or through Fitzgerald, Patrick T via phone (262) 567-5190.

Contact Information

Primary practice address
1185 Corporate Center Dr Ste 300 Oconomowoc WI 53066-4887
Phone: (262) 567-5190
Fax: (262) 567-5259
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Patrick T Doctor of Medicine (MD)
Phone: (262) 567-5190

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48412 Wisconsin

Profile Details

NPI number 1720351919
LBN Legal business name Lake Country Private Medical, S.C.
DBA Doing business as
Authorized official Fitzgerald, Patrick T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2012
Last updated May 18th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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