Organization
LAKESHORE MEDICAL CLINIC, LTD
Active
Organization
LAKESHORE MEDICAL CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASOOD WASIULLAH MD (PRESIDENT)
(414) 744-6589
Entity
Organization
Contact information
Practice address
4131 W LOOMIS RD, STE 110, GREENFIELD, WI 53221-2057
(414) 281-5153
Mailing address
4131 W LOOMIS RD, STE 110, GREENFIELD, WI 53221-2057
(414) 281-5153
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
04/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up