Lakeshore Medical Clinic, LLC
NPI #1114087053 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1114087053
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Oct 14, 2025
Practice Location
- Address
- 3611 S CHICAGO AVE
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-3708
- Phone
- (414) 762-7270
Authorized Official
- Name
- KARA RICHARDSON
- Title
- ASST TREASURER
- Phone
- (704) 631-0450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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