Lakeshore Medical Clinic, Ltd
NPI #1215132055 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1215132055
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic, Ltd
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 20, 2007
- Last Updated
- Jul 29, 2009
Practice Location
- Address
- 2424 S 90TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2455
- Phone
- (414) 328-8777
Authorized Official
- Name
- MASOOD WASIULLAH, MD
- Title
- PRESIDENT
- Phone
- (414) 389-2377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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