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General NPI Number Information
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NPI Number | 1366346157
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Entity Type | Organization
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Legal Business Name | LAKEFRONT MEDICAL SC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 5439 DURAND AVE STE 100
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-5058
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Country | US
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Telephone | 262-898-9000
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Fax | 262-898-3030
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Provider Business Mailing Address
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Address Line | 5439 DURAND AVE STE 100
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-5058
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Country | US
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Telephone | 262-898-9000
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Fax | 262-898-3030
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Authorized Official
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Title or Position | CEO
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Name | DR. JONATHAN SAIGH
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Credential | DC
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Telephone | 262-898-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | NULL
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