OrganizationActive
Lakeshore Rheumatology, LLC
NPI 1104001098 · Rheumatology Physician · Glendale, WI
Provider details
- NPI number
- 1104001098
- Entity type
- Organization
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justina Tseng, Owner(414) 393-9833
- License
- 49141-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
377 W Riverwoods Parkway
Suite 190
Glendale, WI 53212
Phone: (414) 393-9833
Approximate (ZIP-level) locationGet directions
Mailing address
377 W Riverwoods Parkway
Glendale, WI 53212
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2008-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.