NPI 1417495169

Lakeshore Veins S. C.

Organisation Specialist Mequon, WI

Practice location

Address: 1361 W Towne Square Rd, Mequon, WI 53092-5047
Phone: (262) 241-3999

Authorised official

Name: Anne K Bartel
Title: Owner
Phone: (262) 241-3999

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1417495169
Entity type: Organization
NPI issued: 2 Feb 2017
Record last updated: 2 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.