LAKESIDE NEUROCARE LIMITED
NPI 1497234686
Psychiatry & Neurology - Neurology in Waupun, WI

Active since August 09, 2018
620 W BROWN ST, WAUPUN, WI 53963(920) 223-5580(920) 223-3580 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN M GOLDEN

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(920) 223-5582

Reviews for LAKESIDE NEUROCARE LIMITED

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse
620 W BROWN ST
WAUPUN, WI 53963
Emergency Medicine
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapy Assistant
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Occupational Therapist
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Occupational Therapist
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Orthopaedic Surgery
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Nurse Anesthetist, Certified Registered
620 W BROWN ST
WAUPUN, WI 53963
Emergency Medicine
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Nurse Anesthetist, Certified Registered
620 W BROWN ST
WAUPUN, WI 53963
Counselor (Mental Health)
620 W BROWN ST
WAUPUN, WI 53963
Occupational Therapist
620 W BROWN ST
WAUPUN, WI 53963
Counselor (Professional)
620 W BROWN ST
WAUPUN, WI 53963

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.