OrganizationActive
Lakeside Neurocare
NPI 1669818266 · Neurology Physician · Ripon, WI
Provider details
- NPI number
- 1669818266
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Golden, Business Manager(920) 223-5582
- License
- 36421 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
933 Newbury St
Ripon, WI 54971-1730
Phone: (920) 223-5580
Fax: (920) 223-3580
Approximate (ZIP-level) locationGet directions
Mailing address
2700 W 9th Ave Ste 225
Oshkosh, WI 54904-7865
Registry dates
- Enumerated
- 2013-05-22
- Last updated
- 2013-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.