Southern Lakes Endoscopy LLC
Southern Lakes Endoscopy LLC is an Ambulatory Surgical Clinic/Center in Mukwonago, Wisconsin. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
240 Maple Ave Ste 2220Mukwonago, WI 53149-8475
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 | 1851887715 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Burns — Director Revenue Cycle Management · (262) 970-7825 |
| NPI enumerated | July 3, 2018 |
| Last updated in NPPES | March 19, 2026 |
| Certification date | March 19, 2026 |
| Mailing address | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215-3689 |