Lakeshore Rheumatology, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

49141-020 Issued in WI

Legal business name

LAKESHORE RHEUMATOLOGY, LLC

Practice address

377 W Riverwoods Parkway
Suite 190
Glendale, WI 53212

Phone

(414) 393-9833

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Justina Tseng, MD

Title

Owner

Phone

(414) 393-9833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1104001098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 W RIVERWOODS PARKWAY",
            "address_2": "SUITE 190",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-393-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W RIVERWOODS PARKWAY",
            "address_2": "SUITE 190",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-393-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-393-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "49141-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Kurth, DC
• Jonathan Kushi, M.D.
• Abby Marie Kwak, DDS
• Noel L'Esperance, DAT, ATR-BC, LPC
• Lakeshore Family Dental Center LLC
• Kellie Marie Lanza, MSCCC-SLP
• Karen Ann Laporte, OTR
• Amanda Lathe, DDS
• Lauren Lathers, LPC, CSAC, ICS
• Melissa A. Lauters, APNP

• Rheumatology Physician in Glendale, WI
• Providers in Glendale, WI by specialty
• Rheumatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.