Lakeshore Community Health Care, INC
NPI #1184358004 in West Bend, Wisconsin
Provider Information
- NPI Number
- 1184358004
- Entity Type
- Organization
- Organization Name
- Lakeshore Community Health Care, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 15, 2022
- Last Updated
- Jul 15, 2022
Practice Location
Authorized Official
- Name
- CALEB JENSEMA
- Title
- CFO
- Phone
- (920) 783-6633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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