Lakeshore Medical Clinic Ltd
NPI #1740589399 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1740589399
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic Ltd
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 22, 2011
- Last Updated
- Mar 22, 2011
Practice Location
- Address
- 5250 S 108TH ST
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-1321
- Phone
- (414) 525-2433
Authorized Official
- Name
- MASOOD WASIULLAH, MD
- Title
- PRESIDENT
- Phone
- (414) 744-6589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
| Durable Medical Equipment & Medical Supplies |
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