Lakeshore Medical Clinic Llc

LBN: Lakeshore Medical Clinic Llc
Lakeshore Medical Clinic Llc is an health care organization with primary practice located at 200 E Ryan Rd , Oak Creek WI 53154-4563. 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 Llc can be contacted via phone (414) 570-3590, or through Hanson, Gail via phone (414) 299-1623.

Contact Information

Primary practice address
200 E Ryan Rd Oak Creek WI 53154-4563
Phone: (414) 570-3590
Fax: (414) 570-3599
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Gail
Phone: (414) 299-1623

Health care specialties

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

Profile Details

NPI number 1154840163
LBN Legal business name Lakeshore Medical Clinic Llc
DBA Doing business as
Authorized official Hanson, Gail
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2017
Last updated Sep 12th, 2017 - about 8 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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