Lakeshore Community Health Care, Inc.

NPI #1659959450 in Sheboygan, Wisconsin

Provider Information

NPI Number
1659959450
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
Apr 1, 2021
Last Updated
Apr 1, 2021

Practice Location

Address
819 KENTUCKY AVE
ZIP Code
53081-4954
Phone
(920) 783-6633

Authorized Official

Name
MARTIN SCHALLER
Title
CFO
Phone
(920) 783-6808

Specialties & Taxonomy Codes

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

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