LAKESHORE MEDICAL CLINIC

MEQUON, WI
NPI1629206230
Entity TypeOrganization
Authorized ContactMASOOD WASIULLAH
President
262-241-8000
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2009-06-23
Last Update Date2009-06-23
Business Address
LAKESHORE MEDICAL CLINIC
10520 N PORT WASHINGTON RD
MEQUON, WI 53092-5537
Phone number: 262-241-8000
Mailing Address
LAKESHORE MEDICAL CLINIC
100 15TH AVE
SOUTH MILWAUKEE, WI 53172-1160
Phone number: 414-768-5430