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LAKESHORE MEDICAL CLINIC
NPI 1053748160
Nurse Practitioner in South Milwaukee, WI

Active since October 03, 2013
100 15TH AVE, SOUTH MILWAUKEE, WI 53172(414) 764-3241(414) 762-4225 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Medical Clinic NPPES

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

LAKESHORE MEDICAL CLINIC (NPI 1053748160) is a healthcare organization registered as a nurse practitioner in South Milwaukee, Wisconsin and active in the NPI registry since October 2013. The organization lists Frank Lavora, President, as its authorized official.

NPPES Registry Identity

NPI1053748160
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLAKESHORE MEDICAL CLINIC
Location Address100 15TH AVESouth Milwaukee, WI 53172-1160
Mailing Address100 15th AveSouth Milwaukee, WI 53172-1160 · (414) 764-3241 · Fax (414) 762-4225
Phone(414) 764-3241
Fax(414) 762-4225
Organization SubpartNo
Authorized OfficialFrank LavoraPresident · (414) 764-3241
Enumeration DateOctober 3, 2013
✔ NPI 1053748160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 5513-33
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 15TH AVE, South Milwaukee, WI 53172
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALI HUSSEIN ALREFAI MD
Psychiatry & Neurology (Neurology)
100 15TH AVE, LAKESHORE BUISNESS OFFICE, ATTN: GRETCHEN SCHWEISS
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 744-6589
MICHAEL K SHINNERS DDS
Dentist
100 15TH AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 764-0212
IVONNE LOPEZ NP
Nurse Practitioner
100 15TH AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 764-3241
NADINE HADDAD M.D.
Family Medicine
100 15TH AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 645-1808
SLEEP WELLNESS SOUTHSHORE, LLC
Clinic/Center (Sleep Disorder Diagnostic)
100 15TH AVE, SUITE 220
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 336-3000

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's NPI number?

The NPI number for Lakeshore Medical Clinic is 1053748160. It was assigned to this organization in the NPPES registry on October 3, 2013.

Where is Lakeshore Medical Clinic located?

Lakeshore Medical Clinic is located at 100 15th Ave, South Milwaukee, WI 53172. The listed phone number is (414) 764-3241.

What is Lakeshore Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Medical Clinic was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.