Organization
LAKESHORE MEDICAL CLINIC LTD
Active
Other names
LMC Bucyrus Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MASOOD WASIULLAH MD (PRESIDENT)
(414) 768-5430
Entity
Organization
Contact information
Practice address
1100 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2013
(414) 768-4444
(414) 768-4782
Mailing address
1100 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2013
(414) 768-4444
(414) 768-4782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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