Organization
SHEBOYGAN LUNG SPECIALISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUANN MEYER (ADMINISTRATOR)
(920) 458-8060
Entity
Organization
Contact information
Practice address
1621 N TAYLOR DR, SHEBOYGAN, WI 53081-1990
(920) 458-5864
(920) 452-5864
Mailing address
1621 N TAYLOR DR, SHEBOYGAN, WI 53081-1990
(920) 458-5864
(920) 452-5864
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
36416
WI
207RP1001X
Pulmonary Disease Physician
36416
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32101500
—
WI
Enumeration date
02/27/2007
Last updated
09/11/2025
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