Lake Country Pain Treatment
NPI #1790978666 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1790978666
- Entity Type
- Organization
- Organization Name
- Lake Country Pain Treatment
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Aug 24, 2007
Practice Location
- Address
- 970 S SILVER LAKE ST
- Address 2
- SUITE 106
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-3802
- Phone
- (262) 560-9400
Authorized Official
- Name
- DAVID I STEIN
- Title
- OWNER
- Phone
- (414) 257-4673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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