Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKESHORE MEDICAL CLINIC
Active OrganizationLAKESHORE MEDICAL CLINIC is a Nurse Practitioner organization located in SOUTH MILWAUKEE, Wisconsin. NPI 1053748160 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SOUTH MILWAUKEE, WI
Registration Details
- NPI Number
- 1053748160
- Provider Type
- Organization
- NPI Issued
- Oct 3, 2013 (12.858786265755 yrs)
- Last Updated
- Oct 3, 2013
- License
-
5513-33 (WI)
Practice Information
- Address
-
100 15TH AVESOUTH MILWAUKEE, WI, 531721160Browse WI providers · Browse ZIP 53172
- Phone
- 4147643241
- Fax
- 4147624225
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.