Lakeshore Medical Clinic LLC

NPI #1154840163 in Oak Creek, Wisconsin

Provider Information

NPI Number
1154840163
Entity Type
Organization
Organization Name
Lakeshore Medical Clinic LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 12, 2017
Last Updated
Oct 14, 2025

Practice Location

Address
200 E RYAN RD
ZIP Code
53154-4563
Phone
(414) 570-3590

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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