Lakeshore Medical Clinic Ltd
Durable Medical Equipment & Medical Supplies in South Milwaukee, WI. Organization (NPI-2).
NPI number1487976544
StatusActive
Last updated in NPPESFeb 17, 2010
Details
- NPI
- 1487976544
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeshore Medical Clinic Ltd
- Organization subpart
- No
- Enumeration date
- Feb 17, 2010
- Last updated
- Feb 17, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Lmc Bucyrus Medical (Doing Business As)
Practice location
1100 Milwaukee AveSouth Milwaukee, WI 53172-2013
Phone 414-768-4444 · Fax 414-768-4782
Mailing address
1100 Milwaukee AveSouth Milwaukee, WI 53172-2013
Phone 414-768-4444 · Fax 414-768-4782
Authorized official
Masood Wasiullah
President
4147685430
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