Lakeshore Community Health Care, INC

NPI #1245520519 in Sheboygan, Wisconsin

Provider Information

NPI Number
1245520519
Entity Type
Organization
Organization Name
Lakeshore Community Health Care, INC
Subpart
Yes (part of a larger organization)
Parent Organization
LAKESHORE COMMUNITY HEALTHCARE, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 7, 2011
Last Updated
Oct 3, 2014

Practice Location

Address
510 S. 8TH STREET
ZIP Code
53081-4404
Phone
(920) 783-6633

Authorized Official

Name
MICHELE M SCHMITT
Title
OFFICE ADMINISTRATOR
Phone
(920) 783-6633

Specialties & Taxonomy Codes

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

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