Lakeshore Medical Clinic, Llc in South Milwaukee - Durable Medical Equipment & Medical Supplies
Lakeshore Medical Clinic, Llc - NPI 1114087053
Lakeshore Medical Clinic, Llc is a Durable Medical Equipment & Medical Supplies in South Milwaukee, Wisconsin. Lakeshore Medical Clinic, Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Lakeshore Medical Clinic, Llc is 1114087053. The last update date is 2017-01-10.
Lakeshore Medical Clinic, Llc's current location address is 3611 S Chicago Ave, South Milwaukee, Wisconsin. You can contact this provider via phone number 4147627270 and fax number 4147627864. The mailing address for Lakeshore Medical Clinic, Llc is 3611 S Chicago Ave, South Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Medical Clinic, Llc |
|---|---|
| Address | 3611 S Chicago Ave, South Milwaukee, Wisconsin |
| Phone Number | 4147627270 |
| Fax Number | 4147627864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Hanson Gail |
| Telephone Number | 4142991645 |
NPI Number Detail
| NPI Number | 1114087053 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2017-01-10 |
Provider Mailing Address Detail
| Address | 3611 S Chicago Ave |
|---|---|
| City | South Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 531723708 |
| Phone Number | 4147627270 |
| Fax Number | 4147627864 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Post Comment/ Review Below
What is the unique identifier code issued to Lakeshore Medical Clinic, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Lakeshore Medical Clinic, Llc has been assigned the NPI (National Provider Identifier) 1114087053. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lakeshore Medical Clinic, Llc?
The Lakeshore Medical Clinic, Llc is physically situated at 3611 S Chicago Ave, in the city of South Milwaukee, state of WI, with the postal code 531723708.
What is Lakeshore Medical Clinic, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lakeshore Medical Clinic, Llc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did the Lakeshore Medical Clinic, Llc receive the assignment of its 1114087053 from the Centers for Medicare & Medicaid Services?
The Lakeshore Medical Clinic, Llc was issued its 1114087053 by the Centers for Medicare & Medicaid Services on 2006-12-11.
As of what date were the details pertaining to Lakeshore Medical Clinic, Llc last refreshed?
The information related to the Lakeshore Medical Clinic, Llc, including its address, specialty, and other relevant details, was last updated on 2017-01-10.
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