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

Lakeshore Rheumatology, LLC

Organization Rheumatology Physician · NPI 1104001098

Lakeshore Rheumatology, LLC provides Rheumatology Physician services in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

377 W Riverwoods Pkwy Ste 190
Glendale, WI 53212 Not confirmed with CMS for 18 years — call before visiting
Phone: (414) 393-9833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 49141-020 (WI)

Record details

NPI number1104001098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justina Tseng — Owner · (414) 393-9833
NPI enumeratedJanuary 9, 2008
Last updated in NPPESJanuary 9, 2008
Mailing address377 W Riverwoods Parkway, Suite 190, Glendale, WI 53212

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