Lakeshore Medical Clinic

LBN: Lakeshore Medical Clinic
Lakeshore Medical Clinic is an health care organization with primary practice located at 10520 N Port Washington Rd , Mequon WI 53092-5537. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lakeshore Medical Clinic can be contacted via phone (262) 241-8000, or through Wasiullah, Masood via phone (262) 241-8000.

Contact Information

Primary practice address
10520 N Port Washington Rd Mequon WI 53092-5537
Phone: (262) 241-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wasiullah, Masood Doctor of Medicine (MD)
Phone: (262) 241-8000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1629206230
LBN Legal business name Lakeshore Medical Clinic
DBA Doing business as
Authorized official Wasiullah, Masood Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers