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
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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