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

Lake Country Pediatrics SC

Organization Pediatrics Physician · NPI 1801849963

Lake Country Pediatrics SC is a Pediatrics Physician in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

970 S Silver Lake St Ste 102
Oconomowoc, WI 53066-3802
Phone: (262) 569-7100
Fax: (262) 567-6295
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35710 (WI)

Record details

NPI number1801849963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Moyer — Dr. · (262) 569-7100
Other names Lake Country Physicians
NPI enumeratedMay 18, 2006
Last updated in NPPESAugust 15, 2011
Mailing address970 S Silver Lake St, Ste. 102, Oconomowoc, WI 53066-3802

Other providers in Oconomowoc