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Organization
LAKESHORE CAP, INC.
Active
Organization
LAKESHORE CAP, INC.
Active
Other names
Lakeshore Family Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL VETTE HUCK (CEO)
(920) 686-8705
Entity
Organization
Contact information
Practice address
702 STATE ST, MANITOWOC, WI 54220-4034
(920) 682-3737
(920) 686-8700
Mailing address
702 STATE ST, PO BOX 2315, MANITOWOC, WI 54220-4034
(920) 682-3737
(920) 686-8700
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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