NPIMap

Individual provider Active NPI

Lyle C. Lawnicki, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Wauwatosa, WI
National Provider Identifier
1992783617
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
44697 Issued in WI
Practice address
11020 W Plank CT
Suite 100
Wauwatosa, WI 53226-3279
Phone
(414) 476-8122
Fax
(414) 476-2975
NPI assigned
Jan 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 44697 WI Primary

Addresses

Primary practice location

11020 W Plank CT
Suite 100
Wauwatosa, WI 53226-3279

Mailing address

7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4204
Phone (561) 712-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180109000180 OR Practitioner - Pathology 2062304322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Wisconsin, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Consultants, PCGroup PAC ID 7416943857, 12 clinicians

Practice addresses (Care Compare)

123 International Way
Springfield, OR 97477-1047
Phone (541) 222-6915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
78.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44697WIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Consultants, PC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2018 Accepting new patients
Ameripath Milwaukee SC Past Accepting new patients
Lake Country Pathologists SC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Quest Diagnostics Clinical Laboratories Inc Past Accepting new patients
Ameripath Milwaukee SC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

123 International Way
Springfield, OR 97477
Phone (541) 341-8033

Interoperability endpoints

  • Direct secure messaging: llawnick@yourcarecommunity.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992783617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR",
            "address_2": "SUITE 400",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184204",
            "telephone_number": "561-712-7335",
            "fax_number": "561-712-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 W PLANK CT",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263279",
            "telephone_number": "414-476-8122",
            "fax_number": "414-476-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWNICKI",
        "first_name": "LYLE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "44697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.