LAKESIDE NEUROCARE LIMITED
NPI 1497234686
Psychiatry & Neurology - Neurology in Waupun, WI
- Organization
- Psychiatry & Neurology
- Neurology
About LAKESIDE NEUROCARE LIMITED
This page provides the complete NPI Profile along with additional information for Lakeside Neurocare Limited, a provider established in Waupun, Wisconsin operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1497234686 assigned on August 2018. The practitioner's primary taxonomy code is 2084N0400X with license number 36421 (WI). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Susan M Golden (Business Manager)
- NPI
- 1497234686 Verify this NPI
- Provider Name
- LAKESIDE NEUROCARE LIMITED
- Entity Type
- Organization
- Location Address
- 620 W BROWN ST WAUPUN, WI 53963
- Location Phone
- (920) 223-5580
- Location Fax
- (920) 223-3580
- Mailing Address
- 2700 W 9TH AVE STE 225 OSHKOSH, WI 54904
- Mailing Phone
- (920) 223-5582
- Mailing Fax
- (920) 223-3580
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2018
- Last Update Date
- 08-09-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36421
- License State
- WI
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497234686, enumerated as an "organization" on August 09, 2018.
The provider is located at 620 W BROWN ST WAUPUN, WI 53963 and the phone number is (920) 223-5580.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.