Lakeshore Medical

NPI #1285839662 in Franklin, Wisconsin

Provider Information

NPI Number
1285839662
Entity Type
Organization
Organization Name
Lakeshore Medical
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 18, 2007
Last Updated
Jun 29, 2011

Practice Location

Address
9200 W LOOMIS RD
Address 2
STE 208
ZIP Code
53132-8887
Phone
(414) 427-3280

Authorized Official

Name
MASOOD WASIULLAH, MD
Title
PRESIDENT
Phone
(414) 744-6589

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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