LAKESHORE CLINIC LTD

MILWAUKEE, WI
NPI1407925985
Entity TypeOrganization
Authorized ContactPATRICIA K BRICENO
Administrator
414-962-9909
Organization Subpart ?No
Primary Taxonomy261QM0801X 
(Licence: WI  1497)
Enumeration Date2006-11-07
Last Update Date2020-08-22
Business Address
LAKESHORE CLINIC LTD
3970 N OAKLAND AVE SUITE 502
MILWAUKEE, WI 53211
Phone number: 414-962-9909
Mailing Address
LAKESHORE CLINIC LTD
3970 N OAKLAND AVE SUITE 502
MILWAUKEE, WI 53211
Phone number: 414-962-9909