Lake Country Pediatrics Sc
Pediatrics
Lake Country Pediatrics Sc is a Oconomowoc, Wisconsin based Pediatric center with medical specialization in
General Pediatrics. Lake Country Pediatrics Sc is doing business as
Lake Country Physicians.
It is located at
970 S Silver Lake St, Ste. 102, Oconomowoc, Wisconsin - 53066-3802. They can be contacted on phone at
262-569-7100 and fax number 262-567-6295.
NPI number (Unique professional ID) for Lake Country Pediatrics Sc is
1801849963 which was assigned by NPPES on 18 May, 2006 and it was last updated on 15 Aug, 2011.
Lake Country Pediatrics Sc license number is
35710 for Pediatrics (208000000X) in Wisconsin.
Lake Country Pediatrics Sc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lake Country Pediatrics Sc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lake Country Pediatrics Sc |
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| Other Name : | Lake Country Physicians |
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Business Address:
Lake Country Pediatrics Sc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 970 S Silver Lake St, Ste. 102
Oconomowoc, WI, 53066-3802
United States |
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| Phone Number : | 262-569-7100 |
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| Fax Number : | 262-567-6295 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801849963 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 May, 2006 |
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| Last Updated On : | 15 Aug, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Gregorym Moyer |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | DR. |
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| Phone Number : | 262-569-7100 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Country Pediatrics Sc are as mentioned. Primary taxonomy code for Lake Country Pediatrics Sc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35710 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Lake Country Pediatrics Sc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 21250600 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 970 S Silver Lake St, Ste. 102
Oconomowoc, WI, 53066-3802
United States |
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| Phone Number : | 262-569-7100 |
|---|
| Fax Number : | 262-567-6295 |
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Business Location:
Patients can refer following map for directions to
Lake Country Pediatrics Sc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.