Lakeshore Rheumatology, LLC
NPI 1104001098ActiveOrganization· Internal Medicine, Rheumatology· Glendale, WI
Internal Medicine, Rheumatology in Glendale, Wisconsin, registered in NPPES in January 2008. The authorized official on file is Justina Tseng, MD, Owner.
Overview
| NPI | 1104001098 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2008 |
| Last updated in NPPES | Jan 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 49141-020 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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