LAKESIDE NEUROCARE LIMITED.
NPI 1225220254
Psychiatry & Neurology - Neurology in Fond Du Lac, WI

Q: What is Lakeside Neurocare Limited.'s NPI number?

The NPI number for Lakeside Neurocare Limited. is 1225220254. It was assigned to this organization in the NPPES registry on August 14, 2007.

Q: What is Lakeside Neurocare Limited.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since August 14, 2007

430 E DIVISION ST, FOND DU LAC, WI 54935(920) 923-5526(920) 923-5871 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeside Neurocare Limited. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE NEUROCARE LIMITED. (NPI 1225220254) is a healthcare organization registered as a neurology in Fond Du Lac, Wisconsin and active in the NPI registry since August 2007. The organization lists Susan M Golden, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1225220254

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameLAKESIDE NEUROCARE LIMITED.

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address2700 W 9th Ave Ste 225Oshkosh, WI 54904-7865 · (920) 223-5580 · Fax (920) 223-5592

Phone(920) 923-5526

Fax(920) 923-5871

Organization SubpartNo

Authorized OfficialSusan M GoldenBusiness Manager · (920) 223-5582

Enumeration DateAugust 14, 2007

Last NPPES UpdateApril 13, 2012

✔ NPI 1225220254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

430 E DIVISION ST, Fond Du Lac, WI 54935

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Other Identifiers 2

Medicaid32820600WI

Medicare PIN71045WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE ELIZABETH KRIZMAN

Counselor (Mental Health)