Organization · Type 2 NPI

Lakeshore Medical Clinic

Family Nurse Practitioner · Milwaukee, WI

NPI number 1205240686 Active

Practice location

3305 S 20th St, Suite 100
Milwaukee, WI 53215-4940

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X178111-30 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1205240686

Lakeshore Medical Clinic's National Provider Identifier is 1205240686, issued on Jun 13, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 13, 2014.