Organization
LAKESHORE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK LAVORA DPM (PRESIDENT)
(414) 764-3241
Entity
Organization
Contact information
Practice address
100 15TH AVE, SOUTH MILWAUKEE, WI 53172-1160
(414) 764-3241
(414) 762-4225
Mailing address
100 15TH AVE, SOUTH MILWAUKEE, WI 53172-1160
(414) 764-3241
(414) 762-4225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5513-33
WI
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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