Lakeshore Medical Clinic
Lakeshore Medical Clinic is a Family Nurse Practitioner in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
3305 S 20th St Ste 100Milwaukee, WI 53215-4940
Phone: (414) 645-1808
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 178111-30 (WI) |
|---|
Record details
| NPI number | 1205240686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frank Lavora — Podiatrist · (414) 768-5430 |
| NPI enumerated | June 13, 2014 |
| Last updated in NPPES | June 13, 2014 |
| Mailing address | 3305 S 20th St, Suite 100, Milwaukee, WI 53215-4940 |
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