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LKW HEALTH LLC
NPI 1710512819
Clinic/Center - Medical Specialty in De Pere, WI

Active since March 09, 2020
106 N WISCONSIN ST, DE PERE, WI 54115(920) 327-7056(920) 425-4955 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lkw Health Llc NPPES

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

LKW HEALTH LLC (NPI 1710512819), doing business as Lynn K Wagner, Md Integrative Medicine, is a healthcare organization registered as a medical specialty in De Pere, Wisconsin and active in the NPI registry since March 2020. The organization lists Kasi Stankevich, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1710512819
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLKW HEALTH LLC
Location Address106 N WISCONSIN STDe Pere, WI 54115-2733
Mailing Address106 N Wisconsin StDe Pere, WI 54115-2733 · (920) 327-7056 · Fax (920) 425-4955
Phone(920) 327-7056
Fax(920) 425-4955
Organization SubpartNo
Authorized OfficialKasi StankevichClinic Manager · (920) 632-7158
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1710512819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
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).
106 N WISCONSIN ST, De Pere, WI 54115
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Other Names 1

Doing Business AsLynn K Wagner, Md Integrative Medicine

Other Providers at the Same Location NPPES

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

LYNN K WAGNER MD
Emergency Medicine
106 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 327-7056

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 Lkw Health LLC's NPI number?

The NPI number for Lkw Health LLC is 1710512819. It was assigned to this organization in the NPPES registry on March 9, 2020. The provider is doing business as Lynn K Wagner, MD Integrative Medicine.

Where is Lkw Health LLC located?

Lkw Health LLC is located at 106 N Wisconsin St, De Pere, WI 54115. The listed phone number is (920) 327-7056.

What is Lkw Health LLC'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 Lkw Health LLC was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.