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

Lakeshore Medical Clinic LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1154840163

Lakeshore Medical Clinic LLC is a Durable Medical Equipment & Medical Supplies in Oak Creek, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017
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

200 E Ryan Rd
Oak Creek, WI 53154-4563
Phone: (414) 570-3590
Fax: (414) 570-3599
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 number1154840163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kara Richardson — Asst Treasurer · (704) 631-0450
NPI enumeratedSeptember 12, 2017
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

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