NPI 1215132055
Lakeshore Medical Clinic, LTD
Practice location
- Address
- 2424 S 90th St, West Allis, WI 53227-2455
- Phone
- (414) 328-8777
Authorised official
- Name
- Masood Wasiullah
- Title
- President
- Phone
- (414) 389-2377
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1215132055
- Entity type
- Organization
- NPI issued
- 20 Jun 2007
- Record last updated
- 29 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.