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Lakeland Care Inc

NPI 1366563314ActiveOrganization· Exclusive Provider Organization· Fond Du Lac, WI

Exclusive Provider Organization in Fond Du Lac, Wisconsin, registered in NPPES in April 2007. The authorized official on file is Kim M. Mickle, Compliance Manager.

Overview

NPI1366563314
StatusActive
Entity typeOrganization
NPI issuedApr 3, 2007
Last updated in NPPESJan 4, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years