Lakeside Neurocare

NPI #1083048730 in Oshkosh, Wisconsin

Provider Information

NPI Number
1083048730
Entity Type
Organization
Organization Name
Lakeside Neurocare
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Aug 29, 2013
Last Updated
Aug 29, 2013

Practice Location

Address
855 N WESTHAVEN DR
ZIP Code
54904-7668
Phone
(920) 223-5580

Authorized Official

Name
SUSAN M GOLDEN, CPC
Title
BUSINESS MANAGER
Phone
(920) 223-5582

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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