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

Lakeshore Medical Clinic Ltd

Organization Family Medicine Physician · NPI 1174851893

Lakeshore Medical Clinic Ltd is a Family Medicine Physician in South Milwaukee, Wisconsin. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Milwaukee Ave
South Milwaukee, WI 53172-2013
Phone: (414) 764-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174851893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masood Wasiullah — President · (414) 744-6589
Other names Lmc Bucyrus Medical
NPI enumeratedNovember 19, 2009
Last updated in NPPESApril 28, 2010
Mailing address100 15th Ave, South Milwaukee, WI 53172-1160

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