Lakeshore Medical Clinic, Ltd.
NPI #1851444301 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1851444301
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic, Ltd.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Dec 8, 2010
Practice Location
- Address
- 8905 W LINCOLN AVE STE 409
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2469
- Phone
- (414) 328-8770
Authorized Official
- Name
- MASOOD WASIULLAH, MD
- Title
- PRESIDENT
- Phone
- (414) 768-5430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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