LAKESHORE RHEUMATOLOGY, LLC – NPI #1104001098
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Health Care Provider Taxonomy Code for Internal Medicine

LAKESHORE RHEUMATOLOGY, LLC is a provider located in GLENDALE, WI. NPPES has assigned the NPI number 1104001098 to LAKESHORE RHEUMATOLOGY, LLC on January 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESHORE RHEUMATOLOGY, LLC below.

NPI Profile for
LAKESHORE RHEUMATOLOGY, LLC

NPI Number
1104001098
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESHORE RHEUMATOLOGY, LLC
Primary location
377 W RIVERWOODS PARKWAY
SUITE 190
GLENDALE, WI 53212
Phone: (414) 393-9833 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUSTINA TSENG
OWNER
Phone: (414) 393-9833
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)		 WI 49141-020

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.