LAKESIDE CLINIC
NPI 1740365378
Clinic/Center in Sheboygan, WI

Active since October 25, 2006
833 PENNSYLVANIA AVE, SUITE 103, SHEBOYGAN, WI 53081(920) 458-9434(920) 458-6313 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Clinic NPPES

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

LAKESIDE CLINIC (NPI 1740365378) is a healthcare organization registered as a clinic/center in Sheboygan, Wisconsin and active in the NPI registry since October 2006. The organization lists Vincent A Graser, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1740365378
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVINCENT A GRASER
Location Address833 PENNSYLVANIA AVE, SUITE 103Sheboygan, WI 53081-4452
Mailing Address833 Pennsylvania Ave., Po Box 1143Sheboygan, WI 53082-1143 · (920) 458-9434 · Fax (920) 458-6313
Fax(920) 458-6313
Organization SubpartNo
Authorized OfficialVincent A GraserClinical Social Worker · (920) 458-9434
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1740365378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in WI · 1501
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
833 PENNSYLVANIA AVE, Sheboygan, WI 53081

Other Names 1

Doing Business AsLakeside Clinic

Other Identifiers 1

Medicaid42126500WI

Other Providers at the Same Location NPPES

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

Counselor (Professional)
833 PENNSYLVANIA AVE, SUITE 103
SHEBOYGAN, WI 53081

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 Vincent A Graser's NPI number?

The NPI number for Vincent A Graser is 1740365378. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Lakeside Clinic.

Where is Vincent A Graser located?

Vincent A Graser is located at 833 Pennsylvania Ave Suite 103, Sheboygan, WI 53081. The listed phone number is (920) 458-9434.

What is Vincent A Graser's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Vincent A Graser was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.