# LAKESHORE CAP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeshore Family Resources
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396183372
- **Authorized official:** MR. MICHAEL VETTE HUCK (CEO)
- **Authorized official phone:** (920) 686-8705

## Contact information

- **Practice address:** 702 STATE ST, MANITOWOC, WI 54220-4034
- **Practice address phone:** (920) 682-3737
- **Practice address fax:** (920) 686-8700
- **Mailing address:** 702 STATE ST, PO BOX 2315, MANITOWOC, WI 54220-4034
- **Mailing address phone:** (920) 682-3737
- **Mailing address fax:** (920) 686-8700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 06/12/2013