Lakeside Neurocare Limited.
NPI #1225220254 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1225220254
- Entity Type
- Organization
- Organization Name
- Lakeside Neurocare Limited.
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Aug 14, 2007
- Last Updated
- Apr 13, 2012
Practice Location
- Address
- 430 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4560
- Phone
- (920) 923-5526
Authorized Official
- Name
- MRS. SUSAN M GOLDEN, CPC
- Title
- BUSINESS MANAGER
- Phone
- (920) 223-5582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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