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Lake Country Foot & Ankle Sc

Foot & Ankle Surgery Podiatrist in Pewaukee, WI · enumerated 2012 · authorized official Ethan Meyer, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245590017

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Country Foot & Ankle Sc
Practice address 1177 Quail Ct Ste 103, Pewaukee, WI, 53072
Phone (262) 695-6440
Fax (262) 695-2668
Enumeration date May 25, 2012
Last updated in NPPES May 25, 2012

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 794-025 (WI) Primary

Authorized official

Name Ethan Meyer
Title President
Phone (262) 695-6440

Other identifiers

Identifier Type State Issuer
000082018 Other WI P10

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-25. Verify at npiregistry.cms.hhs.gov.
Where is Lake Country Foot & Ankle Sc located?
The practice location on file with NPPES is in Pewaukee, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-25.