Lakeshore Medical Clinic, LLC
NPI #1003861188 in Saint Francis, Wisconsin
Provider Information
- NPI Number
- 1003861188
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 24, 2006
- Last Updated
- Oct 3, 2025
Practice Location
- Address
- 2000 E LAYTON AVE STE 100
- City
- Saint Francis
- State
- Wisconsin
- ZIP Code
- 53235-6054
- Phone
- (414) 744-6589
Authorized Official
- Name
- KARA RICHARDSON
- Title
- ASSISTANT TREASURER
- Phone
- (704) 631-0450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Family Medicine |
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