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LIPID SPECIALISTS, S.C.
NPI 1710287628
Clinic/Center - Medical Specialty in Kenosha, WI

Active since October 26, 2010
1400 75TH ST, SUITE 5, KENOSHA, WI 53143(262) 656-1911(262) 656-1911 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lipid Specialists, S.c. NPPES

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

LIPID SPECIALISTS, S.C. (NPI 1710287628) is a healthcare organization registered as a medical specialty in Kenosha, Wisconsin and active in the NPI registry since October 2010. The organization lists Mary P Eldridge, President, as its authorized official.

NPPES Registry Identity

NPI1710287628
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLIPID SPECIALISTS, S.C.
Location Address1400 75TH ST, SUITE 5Kenosha, WI 53143-1544
Mailing Address1400 75th St, Suite 5Kenosha, WI 53143-1544 · (262) 656-1911 · Fax (262) 656-1911
Phone(262) 656-1911
Fax(262) 656-1911
Organization SubpartNo
Authorized OfficialMary P EldridgePresident · (262) 656-1911
Enumeration DateOctober 26, 2010
✔ NPI 1710287628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in WI · 54685-20
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1400 75TH ST, Kenosha, WI 53143
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Other Providers at the Same Location NPPES 16

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

JAMI LYNN POMEROY LPC
Counselor
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
DR. MARY PATRICIA ELDRIDGE M.D.
General Practice
1400 75TH ST, SUITE #5
KENOSHA, WI 53143
Kenosha County (262) 656-1911
E JOHN ELDRIDGE MD SC
Ophthalmology
1400 75TH ST, SUITE 3
KENOSHA, WI 53143
Kenosha County (262) 652-9500
NINA ORLANDO
Counselor (Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
MEGHAN KELLEY JANER
Counselor (Professional)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
SARA CUMMINGS
Social Worker
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
TYLOR ROCKWELL
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
DENISE M GILANYI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lipid Specialists, S.C.'s NPI number?

The NPI number for Lipid Specialists, S.C. is 1710287628. It was assigned to this organization in the NPPES registry on October 26, 2010.

Where is Lipid Specialists, S.C. located?

Lipid Specialists, S.C. is located at 1400 75th St Suite 5, Kenosha, WI 53143. The listed phone number is (262) 656-1911.

What is Lipid Specialists, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lipid Specialists, S.C. was last updated on October 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.