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LMC BUCYRUS MEDICAL
NPI 1174851893
Family Medicine in South Milwaukee, WI

Active since November 19, 2009
1100 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172(414) 764-4003 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lmc Bucyrus Medical NPPES

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

LMC BUCYRUS MEDICAL (NPI 1174851893) is a healthcare organization registered as a family medicine in South Milwaukee, Wisconsin and active in the NPI registry since November 2009. The organization lists Masood Wasiullah, President, as its authorized official.

NPPES Registry Identity

NPI1174851893
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESHORE MEDICAL CLINIC LTD
Location Address1100 MILWAUKEE AVESouth Milwaukee, WI 53172-2013
Mailing Address100 15th AveSouth Milwaukee, WI 53172-1160 · (414) 764-3241
Phone(414) 764-4003
Organization SubpartNo
Authorized OfficialMasood WasiullahPresident · (414) 744-6589
Enumeration DateNovember 19, 2009
Last NPPES UpdateApril 28, 2010
✔ NPI 1174851893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1100 MILWAUKEE AVE, South Milwaukee, WI 53172
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Other Names 1

Doing Business AsLmc Bucyrus Medical

Other Identifiers 2

Medicare NSC0458040025WI
Medicare PIN000002120WI

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 2

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

LAKESHORE MEDICAL CLINIC LTD
Durable Medical Equipment & Medical Supplies
1100 MILWAUKEE AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 768-4444
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
Contractor
1100 MILWAUKEE AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 768-4444

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 Ltd's NPI number?

The NPI number for Lakeshore Medical Clinic Ltd is 1174851893. It was assigned to this organization in the NPPES registry on November 19, 2009.

Where is Lakeshore Medical Clinic Ltd located?

Lakeshore Medical Clinic Ltd is located at 1100 Milwaukee Ave, South Milwaukee, WI 53172. The listed phone number is (414) 764-4003.

What is Lakeshore Medical Clinic Ltd's specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeshore Medical Clinic Ltd was last updated on April 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.