Lakeshore Medical Clinic, Llc in Saint Francis - Clinic/center
Lakeshore Medical Clinic, Llc - NPI 1003861188
Lakeshore Medical Clinic, Llc is a Clinic/center in Saint Francis, Wisconsin. Lakeshore Medical Clinic, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Lakeshore Medical Clinic, Llc is 1003861188. The last update date is 2023-09-11.
Lakeshore Medical Clinic, Llc's current location address is 2000 E Layton Ave Ste 100, Saint Francis, Wisconsin. You can contact this provider via phone number 4147446589. The mailing address for Lakeshore Medical Clinic, Llc is 2000 E Layton Ave Ste 100, Saint Francis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Medical Clinic, Llc |
|---|---|
| Address | 2000 E Layton Ave Ste 100, Saint Francis, Wisconsin |
| Phone Number | 4147446589 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Nelson Nan |
| Telephone Number | 4142991610 |
NPI Number Detail
| NPI Number | 1003861188 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2023-09-11 |
Provider Mailing Address Detail
| Address | 2000 E Layton Ave Ste 100 |
|---|---|
| City | Saint Francis |
| State | Wisconsin (WI) |
| Post Code | 532356054 |
| Phone Number | 4147446589 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32797200 | WI | -- |
Post Comment/ Review Below
What is the Lakeshore Medical Clinic, Llc's 1003861188?
The Lakeshore Medical Clinic, Llc's NPI (National Provider Identifier) Number is 1003861188. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lakeshore Medical Clinic, Llc's facilities are geographically located?
The facilities of Lakeshore Medical Clinic, Llc are physically situated at the following location: 2000 E Layton Ave Ste 100, Saint Francis, WI, 532356054.
What is Lakeshore Medical Clinic, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lakeshore Medical Clinic, Llc is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003861188 to Lakeshore Medical Clinic, Llc?
The Centers for Medicare & Medicaid Services assigned the 1003861188 to Lakeshore Medical Clinic, Llc on 2006-05-24.
As of what date was the information pertaining to Lakeshore Medical Clinic, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lakeshore Medical Clinic, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-11.
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