Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin M Lavenhagen, PA-C

Individual provider Physician Assistant · NPI 1154635860

Kristin M Lavenhagen, PA-C is a Physician Assistant in Oak Creek, Wisconsin. Qualified in 2010, 16 years ago. Practices with Oak Medical SC, a 123-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

331 E Puetz Rd Lakeshore Medical Clinic
Oak Creek, WI 53154-3253
Phone: (414) 570-3590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2636-23 (WI)

Record details

NPI number1154635860
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2010
Last updated in NPPESSeptember 28, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Oak Medical Sc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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