Guy R Lord, MD | |
1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092-3392 | |
(262) 512-9400 | |
Not Available |
Full Name | Guy R Lord |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1035 W Glen Oaks Ln, Mequon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255399978 | NPI | - | NPPES |
30496000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 21036020 (Wisconsin) | Primary |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
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Guy R Lord, MD Po Box 639, Cedarburg, WI 53012-0639 Ph: (262) 512-9400 | Guy R Lord, MD 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092-3392 Ph: (262) 512-9400 |
Dr. Laurens D. Young, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11514 N Port Washington Rd, Suite 4, Mequon, WI 53092 Phone: 262-241-7025 | |
Dr. Wess R Vogt, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092 Phone: 262-512-9400 | |
Dr. Donna J Brehm, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092 Phone: 262-512-9400 | |
Dr. Jeffrey E Taxman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, G30, Mequon, WI 53092 Phone: 262-241-8100 Fax: 262-241-8200 | |
Julia Hinkle Penn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1045 W Glen Oaks Ln, Suite 1, Mequon, WI 53092 Phone: 262-241-4664 Fax: 262-241-1012 | |
Dr. John Scott Broderick, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite G06, Mequon, WI 53097 Phone: 262-243-8371 Fax: 262-243-8342 |