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

Lakeshore Rheumatology, LLC

Organization Rheumatology Physician · NPI 1104001098

Lakeshore Rheumatology, LLC is a Rheumatology Physician in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

377 W Riverwoods Pkwy Ste 190
Glendale, WI 53212
Phone: (414) 393-9833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 49141-020 (WI)

Record details

NPI number1104001098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justina Tseng — Owner · (414) 393-9833
NPI enumeratedJanuary 9, 2008
Last updated in NPPESJanuary 9, 2008
Mailing address377 W Riverwoods Parkway, Suite 190, Glendale, WI 53212

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