Lakeshore Medical Clinic, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKESHORE MEDICAL CLINIC, LTD.

Practice address

8905 W Lincoln Ave Ste 409
West Allis, WI 53227-2469

Phone

(414) 328-8770

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Masood Wasiullah, MD

Title

President

Phone

(414) 768-5430

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Allis, WI
  • NPI 1619428794

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joy Sarinyamas, M.P.T.

  • Physical Therapist
  • Muskego, WI
  • NPI 1851465785
  NPD (past)
• Mary K Sweany, PT

  • Physical Therapist
  • Greenfield, WI
  • NPI 1679889976
  NPD (past)
• Jacqueline M Vetter, PT

  • Physical Therapist
  • Greenfield, WI
  • NPI 1063547149
  NPD (past)
• Sabina McCarthy, PT

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1326258542
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1851444301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371280",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532372380",
            "telephone_number": "414-328-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 W LINCOLN AVE STE 409",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272469",
            "telephone_number": "414-328-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE MEDICAL CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "WASIULLAH",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-768-5430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanon Renee Lacy, D.O.
• John Laczkowski, OD
• Tammy Laduron, LPN
• Valerie June Lake, RN
• Lakeshore Medical Clinic, LTD
• Lakeside Senior Living LLC (Honey Creek Heights Senior Living)
• Aimee C Laliberte-Brown, RN
• Amy Peters Lalios, M.A., CCC-A
• Laura Ann Lamont, CAPSW, LCSW
• Stacy Lamp, PHARMD

• Durable Medical Equipment & Medical Supplies in West Allis, WI
• Providers in West Allis, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.