Lakeshore Community Health Care, INC

NPI #1144698549 in Sheboygan, Wisconsin

Provider Information

NPI Number
1144698549
Entity Type
Organization
Organization Name
Lakeshore Community Health Care, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 2, 2015
Last Updated
Sep 2, 2015

Practice Location

Address
1721 SAEMANN AVENUE
ZIP Code
53081-2341
Phone
(920) 783-6633

Authorized Official

Name
DAVID E HUGHES
Title
CFO/COO
Phone
(920) 783-6633

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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