Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Country Pediatrics SC

Organization Pediatrics Physician · NPI 1801849963

Lake Country Pediatrics SC provides Pediatrics Physician services in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

970 S Silver Lake St Ste 102
Oconomowoc, WI 53066-3802 Not confirmed with CMS for 15 years — call before visiting
Phone: (262) 569-7100
Fax: (262) 567-6295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35710 (WI)

Record details

NPI number1801849963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Moyer — Dr. · (262) 569-7100
Other names Lake Country Physicians
NPI enumeratedMay 18, 2006
Last updated in NPPESAugust 15, 2011
Mailing address970 S Silver Lake St, Ste. 102, Oconomowoc, WI 53066-3802

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