Lakeside Neurocare Limited

NPI #1497234686 in Waupun, Wisconsin

Provider Information

NPI Number
1497234686
Entity Type
Organization
Organization Name
Lakeside Neurocare Limited
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Aug 9, 2018
Last Updated
Aug 9, 2018

Practice Location

Address
620 W BROWN ST
City
Waupun
ZIP Code
53963-1702
Phone
(920) 223-5580

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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