Lakeshore Medical Clinic

LBN: Lakeshore Medical Clinic
Lakeshore Medical Clinic is an health care organization with primary practice located at 4444 West Loomis Road 200, Greenfield WI 53220. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Lakeshore Medical Clinic can be contacted via phone (414) 281-5150, or through Wasiullah, Masood via phone (414) 525-2433.

Contact Information

Primary practice address
4444 West Loomis Road 200 Greenfield WI 53220
Phone: (414) 281-5150
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wasiullah, Masood Doctor of Medicine (MD)
Phone: (414) 525-2433

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1861754244
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 12th, 2012
Last updated Jun 12th, 2012 - about 12 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.

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