Individual provider Active NPI

Lawrence Piloczewski, L.AC., M.S.O.M.

  • Acupuncturist
  • Mequon, WI
National Provider Identifier
1386903151
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
691-055 Issued in WI
Practice address
10945 N Port Washington Rd
Ste 210
Mequon, WI 53092-5078
Phone
(262) 240-0001
Fax
(262) 240-0030
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 691-055 WI Primary

Addresses

Primary practice location

10945 N Port Washington Rd
Ste 210
Mequon, WI 53092-5078

Mailing address

6510 W Layton Ave
Suite 102
Greenfield, WI 53220-4563
Phone (414) 727-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
691-055WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1386903151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 W LAYTON AVE",
            "address_2": "SUITE 102",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204563",
            "telephone_number": "414-727-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 N PORT WASHINGTON RD",
            "address_2": "STE 210",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925078",
            "telephone_number": "262-240-0001",
            "fax_number": "262-240-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILOCZEWSKI",
        "first_name": "LAWRENCE",
        "credential": "L.AC., M.S.O.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "691-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.