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LAKESHORE MEDICAL CLINIC, LLC
NPI 1003861188
Family Medicine in Saint Francis, WI

Active since May 24, 2006
2000 E LAYTON AVE STE 100, SAINT FRANCIS, WI 53235(414) 744-6589 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2023, Sep 28, 2016 (2 updates tracked since 2016).

About Lakeshore Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE MEDICAL CLINIC, LLC (NPI 1003861188) is a healthcare organization registered as a family medicine in Saint Francis, Wisconsin and active in the NPI registry since May 2006. The organization lists Kara Richardson, Assistant Treasurer, as its authorized official.

NPPES Registry Identity

NPI1003861188
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESHORE MEDICAL CLINIC, LLC
Location Address2000 E LAYTON AVE STE 100Saint Francis, WI 53235-6054
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (414) 647-6326
Phone(414) 744-6589
Organization SubpartNo
Authorized OfficialKara RichardsonAssistant Treasurer · (704) 631-0450
Enumeration DateMay 24, 2006
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1003861188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
2000 E LAYTON AVE STE 100, Saint Francis, WI 53235
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Other Identifiers 1

Medicaid32797200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Medical Clinic, LLC's NPI number?

The NPI number for Lakeshore Medical Clinic, LLC is 1003861188. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Lakeshore Medical Clinic, LLC located?

Lakeshore Medical Clinic, LLC is located at 2000 E Layton Ave Ste 100, Saint Francis, WI 53235. The listed phone number is (414) 744-6589.

What is Lakeshore Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Lakeshore Medical Clinic, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Lakeshore Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeshore Medical Clinic, LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.