Lake Country Classical Academy, Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LAKE COUNTRY CLASSICAL ACADEMY, INC.

Practice address

818 W Wisconsin Ave
Oconomowoc, WI 53066-2623

Phone

(262) 269-0279

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Eric Wozniak, PHD

Title

Business Manager

Phone

(414) 617-9606

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1720754757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W WISCONSIN AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662623",
            "telephone_number": "262-269-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W WISCONSIN AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662623",
            "telephone_number": "262-269-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N50W35057 E Wisconsin Ave.",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530665306",
            "country_code": "US",
            "telephone_number": "262-269-0279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE COUNTRY CLASSICAL ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "WOZNIAK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "414-617-9606",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Jill Kulaszewicz, PHARMD
• Emily Kulpa, PHARMD
• Gerard L. Kupperman, PH.D.
• Lake Area Free Clinic
• Lake Country Birth LLC
• Lake Country Dentistry, L.L.C.
• Lake Country Emergency Physicians
• Lake Country Endoscopy Center, LLC
• Lake Country Pain Treatment
• Lake Country Pediatrics SC

• Local Education Agency (LEA) in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.