Lakeside Neurocare Limited

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

LAKESIDE NEUROCARE LIMITED

Practice address

2700 W 9TH Ave Ste 225
Oshkosh, WI 54904-7865

Phone

(920) 223-5580

Fax

(920) 223-5592

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susan M Golden

Title

Business Manager

Phone

(920) 223-5582

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1710046404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE STE 225",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047865",
            "telephone_number": "920-223-5580",
            "fax_number": "920-223-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE STE 225",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047865",
            "telephone_number": "920-223-5580",
            "fax_number": "920-223-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE NEUROCARE LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-223-5582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Pointe Senior Living, Inc.
• Edward Lake, MD
• Lakeshore Manor Memory Care LLC
• Lakeshore Manor Memory Care LLC
• Lakeside Neurocare
• Elisa L Lambie, APNP
• Erin M Lamers, PT
• Matthew J Lamers, PT
• Brooke Lammers
• Colleen Mary Lange, OT

• Neurology Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.