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

Lakeshore Medical Clinic, LLC

Organization Family Medicine Physician · NPI 1003861188

Lakeshore Medical Clinic, LLC is a Family Medicine Physician in Saint Francis, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 E Layton Ave Ste 100
Saint Francis, WI 53235-6054
Phone: (414) 744-6589
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1003861188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kara Richardson — Assistant Treasurer · (704) 631-0450
NPI enumeratedMay 24, 2006
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

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