Organization · Type 2 NPI

Lakeshore Medical Clinic

Nurse Practitioner · South Milwaukee, WI

NPI number 1053748160 Active

Practice location

100 15th Ave
South Milwaukee, WI 53172-1160

Fax (414) 762-4225

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5513-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

About NPI 1053748160

Lakeshore Medical Clinic's National Provider Identifier is 1053748160, issued on Oct 3, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Milwaukee, WI. The record was last updated on Oct 3, 2013.