Lakeshore Community Health Care, INC

NPI #1578990578 in Sheboygan, Wisconsin

Provider Information

NPI Number
1578990578
Entity Type
Organization
Organization Name
Lakeshore Community Health Care, INC
Subpart
Yes (part of a larger organization)
Parent Organization
LAKESHORE COMMUNITY HEALTH CARE, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 4, 2013
Last Updated
Sep 30, 2014

Practice Location

Address
1931 N 8TH ST
ZIP Code
53081-2740
Phone
(920) 783-6633

Authorized Official

Name
DAVID HUGHES
Title
CHIEF FINANCIAL OFFICER
Phone
(920) 783-6633

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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