Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Country Foot & Ankle SC

Organization Foot & Ankle Surgery Podiatrist · NPI 1245590017

Lake Country Foot & Ankle SC is a Foot & Ankle Surgery Podiatrist in Pewaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012

Practice location Address checks out

1177 Quail Ct Ste 103
Pewaukee, WI 53072-3768
Phone: (262) 695-6440
Fax: (262) 695-2668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 794-025 (WI)

Record details

NPI number1245590017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethan Meyer — President · (262) 695-6440
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012
Mailing address1177 Quail Ct Ste 103, Pewaukee, WI 53072-3768

Other providers in Pewaukee