Lakeland Care Inc in Fond Du Lac - Exclusive Provider Organization

Lakeland Care Inc - NPI 1366563314

Lakeland Care Inc is a Exclusive Provider Organization in Fond Du Lac, Wisconsin. Lakeland Care Inc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Lakeland Care Inc is 1366563314. The last update date is 2017-01-04.

Lakeland Care Inc's current location address is N6654 Rolling Meadows Dr, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209065100. The mailing address for Lakeland Care Inc is N6654 Rolling Meadows Dr, Fond Du Lac, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeland Care Inc
Address N6654 Rolling Meadows Dr, Fond Du Lac, Wisconsin
Phone Number 9209065100
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COMPLIANCE
Authorized Official Name Mickle M Kim
Telephone Number 9209065100

NPI Number Detail

NPI Number 1366563314
Provider Enumeration Date 2007-04-03
Last Updated Date 2017-01-04

Provider Mailing Address Detail

Address N6654 Rolling Meadows Dr
City Fond Du Lac
State Wisconsin (WI)
Post Code 549379471
Phone Number 9209065100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
69105530 WI --
69005500 WI --
69005530 WI --
69205530 WI --

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FAQs about Lakeland Care Inc

What is the unique 10-digit identification code assigned to Lakeland Care Inc by the Centers for Medicare & Medicaid Services?

The Lakeland Care Inc has been issued the NPI (National Provider Identifier) 1366563314, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lakeland Care Inc is located?

The Lakeland Care Inc is situated at the following address: N6654 Rolling Meadows Dr, Fond Du Lac, WI, 549379471.

What is Lakeland Care Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lakeland Care Inc is Exclusive Provider Organization, and the taxonomy classification code that categorizes this area of expertise is 302F00000X.

On what date did Lakeland Care Inc receive its 1366563314 assignment from the Centers for Medicare & Medicaid Services?

The Lakeland Care Inc was assigned its 1366563314 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Lakeland Care Inc most recently updated or refreshed?

The details pertaining to the Lakeland Care Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-04.

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