SearchWisconsinPhysician Assistant

Kristin Lavenhagen, PA-C

NPI 1154635860 · on the registry since 2010

Practice

Address
331 E Puetz Rd
Lakeshore Medical Clinic
Oak Creek, WI 53154
Phone
(414) 570-3590
Organisation at this address
William Weis Dpm Sc
Evolved Chiropractic
Lakeshore Medical Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin