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

Lakeshore Medical Clinic

Organization Occupational Therapist · NPI 1861754244

Lakeshore Medical Clinic is an Occupational Therapist in Greenfield, Wisconsin. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

4444 W Loomis Road 200
Greenfield, WI 53220
Phone: (414) 281-5150
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Occupational Therapist Taxonomy 225X00000X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1861754244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masood Wasiullah — President · (414) 525-2433
NPI enumeratedJune 12, 2012
Last updated in NPPESJune 12, 2012
Mailing address100 15th Ave, South Milwaukee, WI 53172-1160

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