Lakeshore Medical Clinic
NPI #1053748160 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1053748160
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 3, 2013
- Last Updated
- Oct 3, 2013
Practice Location
- Address
- 100 15TH AVE
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-1160
- Phone
- (414) 764-3241
Authorized Official
- Name
- DR. FRANK LAVORA, DPM
- Title
- PRESIDENT
- Phone
- (414) 764-3241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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