Lakeshore Medical Clinic LLC
NPI #1538351549 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1538351549
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 14, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4448 W LOOMIS RD STE 204
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53220-4851
- Phone
- (414) 281-5151
Authorized Official
- Name
- MIKE BANIA
- Title
- ADMINISTRATOR
- Phone
- (414) 744-6589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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