LMG Inc

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

LMG INC

Practice address

6211 Durand Ave
Suite 202
Mount Pleasant, WI 53406-4956

Phone

(262) 598-9901

Fax

(262) 898-3951

NPI assigned

Feb 15, 2017

Organization subpart

Yes

Parent organization

LMG INCAs reported in NPPES

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

Authorized official

Name

Jay L Mackman, D.D.S.

Title

Owner-Director

Phone

(414) 476-9400

Specialties & licenses 1

Addresses

Part of

LMG Inc

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• LMG Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Oak Creek, WI
  • NPI 1073391447

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1891234498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST",
            "address_2": "SUITE 105",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-476-9400",
            "fax_number": "414-755-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 DURAND AVE",
            "address_2": "SUITE 202",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064956",
            "telephone_number": "262-598-9901",
            "fax_number": "262-898-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LMG INC",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "MACKMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "414-476-9400",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie Nicole Lisle, CRNA
• Kenneth Kim Litterer, L.AC.
• Yi Chuan Liu, DAOM
• Bryanna Kay Livingston, MSN, APRN, FNP-BC
• Liz Hanson Will, LLC (Therapy Solutions)
• Jennifer Lo
• Cassaundra Kathryn Loest, OTR
• Leah Lofquist
• James A Lois, RPH
• Xavier Lopez

• Oral and Maxillofacial Pathology Dentistry in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Oral and Maxillofacial Pathology Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.