Kristin M Lavenhagen
LAKESHORE MEDICAL CLINIC LLC


Address: 200 E Ryan Rd, Oak Creek, WI 53154-4563
Phone: 4145703590

Kristin M Lavenhagen (NPI# 1154635860, PAC ID# 8123210838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1154635860
PAC ID by PECOS 8123210838
Professional Enrollment ID I20101012001269
Full Name Kristin M Lavenhagen
Organization Legal Name LAKESHORE MEDICAL CLINIC LLC
Address 200 E Ryan Rd
Oak Creek
WI 53154-4563
Phone Number 4145703590
Gender F
Graduation Year 2010
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7719890730
Number of Group Practice Members 297
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
200 E Ryan Rd, Oak Creek, WI 53154-4563 4145703590 LAKESHORE MEDICAL CLINIC LLC
2000 E Layton Ave, Saint Francis, WI 53235-6053 4147446589 LAKESHORE MEDICAL CLINIC LLC

Organization Information

Organization Legal Name LAKESHORE MEDICAL CLINIC LLC
Physicians 101

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Faramarz Edalat Diagnostic Radiology Lakeshore Medical Clinic LLC 200 E Layton Ave, Milwaukee, WI 53207-5908
Molly Marie Yurk Nurse Practitioner Lakeshore Medical Clinic LLC 100 15th Ave, South Milwaukee, WI 53172-1160
Mary K Murphy Nurse Practitioner Lakeshore Medical Clinic LLC 163 N Milwaukee St, Milwaukee, WI 53202-6012
Kshama Keshava Bhat Family Medicine Lakeshore Medical Clinic LLC 4202 W Oakwood Park Ct, Franklin, WI 53132-9118
Sarah Katharine Hambrook Internal Medicine Lakeshore Medical Clinic LLC 331 E Puetz Rd, Oak Creek, WI 53154-3254
Susan L Hafemann Nurse Practitioner Lakeshore Medical Clinic LLC 14555 W National Ave, New Berlin, WI 53151-4494
Dixie M Patel Family Medicine Lakeshore Medical Clinic LLC 3611 S Chicago Ave, S Milwaukee, WI 53172-3738
Gary Hauke Obstetrics/gynecology Lakeshore Medical Clinic LLC 3305 S 20th St, Milwaukee, WI 53215-4940
Rita E Schulz Family Medicine Lakeshore Medical Clinic LLC 2000 E Layton Ave, Saint Francis, WI 53235-6053
Jeanette A Kalupa Nurse Practitioner Lakeshore Medical Clinic LLC S68w15500 Janesville Rd, Muskego, WI 53150-2613

Office Location

Street Address 200 E RYAN RD
City OAK CREEK
State WI
Zip 53154-4563

Physicians in the same location

Name Specialty Organization Address
Jothis C Jose Family Medicine Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Lynne M Nevershoeft Nurse Practitioner Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Amanpreet Dhaliwal Family Medicine Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Wendy S Davis Physician Assistant Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Reena Annie George Allergy/immunology Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Bridget Bodenbach Physician Assistant Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Timothy A Bryan Physician Assistant Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Sarah C Schrik Physician Assistant Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Wendy S Halser Physician Assistant Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
Gregg Tetting Pediatric Medicine Lakeshore Medical Clinic LLC 200 E Ryan Rd, Oak Creek, WI 53154-4563
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Physicians in the same zip code

Name Specialty Organization Address
Gregory D Gavric Chiropractic 7003 S Howell Ave, Suite 1300, Oak Creek, WI 53154-1402
Daniel E Hyatt Chiropractic 7003 S Howell Ave, Suite 1300, Oak Creek, WI 53154-1402
Jessica N Grandlich Physician Assistant Forefront Dermatology Sc 7001 S Howell Ave, Suite 900, Oak Creek, WI 53154-1408
Jay L Mackman Oral Surgery Affiliated Health of Wisconsin Ltd 7001 S Howell Ave, Suite 800, Oak Creek, WI 53154-1408
Pamela Baker Clinical Psychologist Wellqor Psychological Services of Wisconsin, S.c. 7550 S 13th St, Oak Creek, WI 53154-1823
Jeffrey Paul Sischo Physical Therapy Athletic and Therapeutic Institute of Milwaukee, LLC 600 W Drexel Ave, Suite 150, Oak Creek, WI 53154-1918
Laith Shaman Podiatry Froedtert and The Medical College of Wisconsin Community Physicians In 7901 S 6th St, Oak Creek, WI 53154-2010
Jessica L Woznick Family Medicine Froedtert and The Medical College of Wisconsin Community Physicians In 7901 S 6th St, Oak Creek, WI 53154-2010
Karri A Huber Rheumatology Froedtert and The Medical College of Wisconsin Community Physicians In 7901 S 6th St, Oak Creek, WI 53154-2010
Elizabeth B Partain Family Medicine Froedtert and The Medical College of Wisconsin Community Physicians In 7901 S 6th St, Oak Creek, WI 53154-2010
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Competitor

Search similar physicians

City OAK CREEK
Zip Code 53154
Specialty PHYSICIAN ASSISTANT
City + Specialty OAK CREEK + PHYSICIAN ASSISTANT

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Dataset Information

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.

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