Lakeshore Medical Clinic LLC

NPI #1497983837 in Franklin, Wisconsin

Provider Information

NPI Number
1497983837
Entity Type
Organization
Organization Name
Lakeshore Medical Clinic LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 24, 2009
Last Updated
Jul 20, 2017

Practice Location

Address
4202 W OAKWOOD PARK CT
ZIP Code
53132-8131
Phone
(414) 423-5250

Authorized Official

Name
MICHAEL BANIA
Title
SENIOR DIRECTOR
Phone
(414) 766-9094

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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