Lakeshore Eye Care Professionals, S.c.

NPI #1568688331 in Mequon, Wisconsin

Provider Information

NPI Number: 1568688331
Entity Type: Organization
Organization Name: Lakeshore Eye Care Professionals, S.c.
Primary Specialty: Ophthalmology
Enumeration Date: Apr 18, 2007
Last Updated: Sep 20, 2012

Practice Location

Address: 10320 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5767
Phone: (262) 241-1919

Authorized Official

Name: LINDA L. KNAPP
Title: OFFICE MANAGER
Phone: (262) 241-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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