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Lakeshore Veins S. C.
Specialist in Mequon, Wisconsin
NPI 1417495169

Lakeshore Veins S. C. is a Specialist based in Mequon, WI. Lakeshore Veins S. C. practices in Mequon, WI. The NPI Number for Lakeshore Veins S. C. is 1417495169 and holds a License No. (Wisconsin).

The current practice location address for Lakeshore Veins S. C. is 1361 W Towne Square Rd, Mequon, WI and can be reached out via phone at 262-241-3999.

Location: 1361 W Towne Square Rd, Mequon, WI, 53092-5047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417495169
Provider Name
Lakeshore Veins S. C.
Credential
Provider Entity Type
Organization
Address
1361 W Towne Square Rd, Mequon, WI, 53092-5047
Phone Number
262-241-3999
Fax Number
Provider Enumeration Date
02/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3261440 05 WI
institution
Provider Business Practice Location Address Details
Address
1361 W Towne Square Rd
City
Mequon
State
Wisconsin
Zip
53092-5047
Phone Number
262-241-3999
Fax Number
person
Provider Business Mailing Address Details
Address
1361 W Towne Square Rd
City
Mequon
State
Wisconsin
Zip
53092-5047
Phone Number
262-241-3999
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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