Lakeshore Medical Clinic, Ltd.
NPI #1396822854 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1396822854
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic, Ltd.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4131 W LOOMIS RD
- Address 2
- STE 200
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53221-2051
- Phone
- (414) 281-5151
Authorized Official
- Name
- MASOOD WASIULLAH, MD
- Title
- PRESIDENT/CEO
- Phone
- (414) 764-3241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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