Lakeshore Medical Clinic LLC

NPI #1265597645 in Cudahy, Wisconsin

Provider Information

NPI Number
1265597645
Entity Type
Organization
Organization Name
Lakeshore Medical Clinic LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 26, 2006
Last Updated
Oct 14, 2025

Practice Location

Address
5900 S LAKE DR
City
Cudahy
ZIP Code
53110-3171
Phone
(414) 489-4190

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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