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LAKESHORE MEDICAL CLINIC LTD. NPI 1396822854


NPI Information

NPI: 1396822854
Provider Name: LAKESHORE MEDICAL CLINIC, LTD.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4131 W LOOMIS RD
STE 200
GREENFIELD, WI
ZIP 53221
Phone: (414) 281-5151
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LAKESHORE MEDICAL CLINIC, LTD. is a durable medical equipment medical supplies in Greenfield, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LAKESHORE MEDICAL CLINIC, LTD. NPI is 1396822854. The provider is registered as an organization entity type.

The provider's business location address is:

4131 W LOOMIS RD
STE 200
GREENFIELD, WI
ZIP 53221-051
Phone: (414) 281-5151

The provider's authorized official is Masood Wasiullah .
The authorized official title is President/ceo and has the following contact phone number (414) 764-3241.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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