| NPI | 1023267226 |
|---|---|
| Doing Business As | THE SLEEP CENTER AT LAKESIDE |
| Entity Type | Organization |
| Authorized Contact | LESLIE K CHASE CEO 262-241-1701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: WI 261QS1200X) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-12-11 |