Organization
LAKESHORE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (ASST TREASURER)
(704) 631-0450
Entity
Organization
Contact information
Practice address
2000 E LAYTON AVE, SAINT FRANCIS, WI 53235-6053
(414) 744-6589
Mailing address
2000 E LAYTON AVE, SAINT FRANCIS, WI 53235-6053
(414) 744-6589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
10/14/2025
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