Lakeside OB/GYN, S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

33771-020 Issued in WI

Legal business name

LAKESIDE OB/GYN, S.C.

Practice address

2524 E Webster PL
Suite 303
Milwaukee, WI 53211-4246

Phone

(414) 271-1116

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Mary Trebian, M.D.

Title

President/Owner

Phone

(414) 271-1116

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1891707873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PLACE",
            "address_2": "SUITE 303",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114518",
            "telephone_number": "414-271-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL",
            "address_2": "SUITE 303",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114246",
            "telephone_number": "414-271-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OB/GYN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "TREBIAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "414-271-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "33771-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Medical Clinic
• Lakeshore Medical Clinic, LLC
• Lakeshore Medical Clinic, LTD
• Lakeshore Medical Clinic, LTD
• Lakeside Dental LLC
• Alysandra Lal, M.D.
• Dave R Lal, M.D.
• Beth M Lalande, MD
• Aarish Lalani, M.D.
• Neela Lalani, D.M.D.

• Obstetrics & Gynecology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.