Lakeshore Medical Clinic LLC
NPI #1639374036 in Oak Creek, Wisconsin
Provider Information
- NPI Number
- 1639374036
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Apr 6, 2017
Practice Location
Authorized Official
- Name
- MIKE BANIA
- Title
- ADMINISTRATOR
- Phone
- (414) 744-6589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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