Lakeside Neurocare

LBN: Lakeside Neurocare
Lakeside Neurocare is an health care organization with primary practice located at 933 Newbury St , Ripon WI 54971-1730. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Lakeside Neurocare can be contacted via phone (920) 223-5580, or through Golden, Susan M via phone (920) 223-5582.

Contact Information

Primary practice address
933 Newbury St Ripon WI 54971-1730
Phone: (920) 223-5580
Fax: (920) 223-3580
Website:
Map and Directions
Authorized official contact:
Name: Golden, Susan M
Phone: (920) 223-5582

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36421 Wisconsin

Profile Details

NPI number 1669818266
LBN Legal business name Lakeside Neurocare
DBA Doing business as
Authorized official Golden, Susan M
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2013
Last updated May 22nd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669818266 NPPES
Wisconsin MEDICAID 32820600

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