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

Lakeshore Medical Clinic, Ltd

Organization Durable Medical Equipment & Medical Supplies · NPI 1396822854

Lakeshore Medical Clinic, Ltd is a Durable Medical Equipment & Medical Supplies in Greenfield, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
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

4131 W Loomis Rd Ste 200
Greenfield, WI 53221-2051
Phone: (414) 281-5151
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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 number1396822854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masood Wasiullah — President/Ceo · (414) 764-3241
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4131 W Loomis Rd, Ste 200, Greenfield, WI 53221-2051

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