Lakeshore Medical Clinic, Ltd
Durable Medical Equipment & Medical Supplies in Milwaukee, WI. Organization (NPI-2).
NPI number1982809372
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982809372
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeshore Medical Clinic, Ltd
- Organization subpart
- No
- Enumeration date
- Jun 18, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
5818 W Capitol DrMilwaukee, WI 53216-2247
Phone 414-449-2114
Mailing address
5818 W Capitol DrMilwaukee, WI 53216-2247
Phone 414-449-2114
Authorized official
Masood Wasiullah
President
4147446589
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