Lake Country Endoscopy Center, LLC
Lake Country Endoscopy Center, LLC is an Ambulatory Surgical Clinic/Center in Oconomowoc, Wisconsin. Registered with an NPI since 2008.
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1185 Corporate Center Dr Ste 125Oconomowoc, WI 53066-4845
Phone: (414) 454-0600
Fax: (414) 454-0971
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1184897472 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bao Xiong Thao — Authorized Official · (414) 908-6506 |
| NPI enumerated | April 8, 2008 |
| Last updated in NPPES | January 8, 2025 |
| Certification date | January 8, 2025 |
| Mailing address | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215-3689 |
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