Tejaswini A Mirji Lakkundi (NPI# 1396285854, PAC ID# 4688959976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1396285854 |
| PAC ID by PECOS | 4688959976 |
| Professional Enrollment ID | I20170329001201 |
| Full Name | Tejaswini A Mirji Lakkundi |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Address |
1700 W Paradise Dr West Bend WI 53095-9795 |
| Phone Number | 2623343451 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 3678760063 |
| Number of Group Practice Members | 808 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2623343451 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Physicians | 564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laith Shaman | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Lauren E Wanie | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Nicholas Samuel Yunez | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7208 N 76th St, Milwaukee, WI 53223-4502 |
| Tracy L Farrey | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | 1271 N 6th St, Milwaukee, WI 53212-3360 |
| Jennifer J Schmidt | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 2180 S Main St, West Bend, WI 53095-5754 |
| Amanda Hoffman | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Courtney L Pyant Dan Pullo | Obstetrics/gynecology | Froedtert and The Medical College of Wisconsin Community Physicians In | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 |
| Katie Lammi | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 |
| Laura Folger | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 4455 S 108th St, Greenfield, WI 53228-2504 |
| Amanda Louise Ensz | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 840 N 87th St, Milwaukee, WI 53226-3586 |
| Street Address |
1700 W PARADISE DR |
| City | WEST BEND |
| State | WI |
| Zip | 53095-9795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodrigo G Valadares De Sousa | Rheumatology | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Kasandra E Flasch | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| April A Shera | Otolaryngology | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Rafal J Ryzka | Rheumatology | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Jessica L Minder | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Carter A Aune | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Gregory G Blommel | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Gary M Herdrich | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Somchai Laowattana | Neurology | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Jeremiah C Parve | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 1700 W Paradise Dr, West Bend, WI 53095-9795 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa G Kornely | Podiatry | 2358 W Washington St, West Bend, WI 53095-2118 | |
| Craig J Schoenecker | Psychiatry | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Kristin L Woznicki Servi | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Alicia K Leslie | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Christopher J Christian | Psychiatry | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Samantha A Sprung | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Sarah J Witte | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Laura Collins | Nurse Practitioner | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| William M Drankiewicz | Clinical Psychologist | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Melissa A Kowalske | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, West Bend, WI 53095-2503 |
| Find all physicians in zip 53095 | |||
| City | WEST BEND |
| Zip Code | 53095 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | WEST BEND + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Tejaswini A Mirji Lakkundi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.