Lakeside Family Practice
Lakeside Family Practice provides Family Nurse Practitioner services in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.
- Licensed in
- WI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
3200 Sheridan Rd Ste 104Kenosha, WI 53140-1921
Phone: (262) 225-1014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 2011006054 (WI) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 6190-33 (WI) |
Record details
| NPI number | 1831698430 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Hale — Owner · (262) 225-1014 |
| NPI enumerated | February 8, 2018 |
| Last updated in NPPES | February 8, 2018 |
| Mailing address | 2113 Tallgrass Cir, Waukesha, WI 53188-2606 |
Other providers in Kenosha
-
Mrs. Gloria D Diggs, FNP
3710 57th Ave, Kenosha, WI 53144-4820 · (414) 376-6053
-
Imelda N Forsberg, NURSEPRACTITIONER
6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927 · (262) 358-2954
-
Vedrana Jovkovic, APNP
4006 Washington Rd, Kenosha, WI 53144-4819 · (262) 771-1700
-
Reilly Kjell, APRN, FNP-C
4824 Green Bay Rd, Kenosha, WI 53144-1789 · (262) 299-6199
-
Sandra Leicht, APNP
8600 Sheridan Rd Kenosha County Division Of Health, Kenosha, WI 53143-6506 · (262) 605-6700
-
Mr. Jolly P Macwan, NP
10400 75th St, Kenosha, WI 53142-7884 · (262) 948-5600
-
Tracy Lynn Margetson, FNP
4006 Washington Rd, Kenosha, WI 53144-4819 · (262) 771-1700
-
Dana Mehring, FNP-C
6530 Sheridan Rd Ste 7, Kenosha, WI 53143-5063 · (262) 455-7047