Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Medical Clinic

Organization Durable Medical Equipment & Medical Supplies · NPI 1629206230

Lakeshore Medical Clinic is a Durable Medical Equipment & Medical Supplies in Mequon, Wisconsin. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

10520 N Port Washington Rd
Mequon, WI 53092-5537
Phone: (262) 241-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1629206230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masood Wasiullah — President · (262) 241-8000
NPI enumeratedJune 23, 2009
Last updated in NPPESJune 23, 2009
Mailing address100 15th Ave, South Milwaukee, WI 53172-1160

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