OrganizationActive
Lipid Specialists, S.c.
NPI 1710287628 · Medical Specialty Clinic/Center · Kenosha, WI
Provider details
- NPI number
- 1710287628
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Eldridge, President(262) 656-1911
- License
- 54685-20 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1400 75th St
Suite 5
Kenosha, WI 53143-1544
Phone: (262) 656-1911
Fax: (262) 656-1911
Approximate (ZIP-level) locationGet directions
Mailing address
1400 75th St
Kenosha, WI 53143-1544
Registry dates
- Enumerated
- 2010-10-26
- Last updated
- 2010-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.