Lakeland Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LAKELAND CLINIC LLC

Practice address

610 West Ave Ste C
Rice Lake, WI 54868-1387

Phone

(715) 202-6727

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paige Renee Harper, DNP

Title

Nurse Practitioner

Phone

(319) 573-9723

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1003587346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WEST AVE STE C",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681387",
            "telephone_number": "715-202-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WEST AVE STE C",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681387",
            "telephone_number": "715-202-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "319-573-9723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.