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LAKESHORE MEDICAL CLINIC
NPI 1205240686
Nurse Practitioner - Family in Milwaukee, WI

Active since June 13, 2014
3305 S 20TH ST, SUITE 100, MILWAUKEE, WI 53215(414) 645-1808 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeshore Medical Clinic NPPES

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

LAKESHORE MEDICAL CLINIC (NPI 1205240686) is a healthcare organization registered as a family in Milwaukee, Wisconsin and active in the NPI registry since June 2014. The organization lists Frank Lavora, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1205240686
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAKESHORE MEDICAL CLINIC
Location Address3305 S 20TH ST, SUITE 100Milwaukee, WI 53215-4940
Mailing Address3305 S 20th St, Suite 100Milwaukee, WI 53215-4940 · (414) 645-1808
Phone(414) 645-1808
Organization SubpartNo
Authorized OfficialFrank LavoraPodiatrist · (414) 768-5430
Enumeration DateJune 13, 2014
✔ NPI 1205240686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 178111-30
3305 S 20TH ST, Milwaukee, WI 53215
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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 19

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

MICHAEL A. DIDION D.O.,S.C.
Anesthesiology
3305 S 20TH ST, SUITE 150
MILWAUKEE, WI 53215
Milwaukee County (414) 384-2100
KELSEY THOMPSON DPT
Physical Therapist
3305 S 20TH ST
MILWAUKEE, WI 53215
Milwaukee County (414) 645-1808
MICHAEL ANTHONY DIDION DO
Anesthesiology
3305 S 20TH ST, SUITE 150
MILWAUKEE, WI 53215
Milwaukee County (414) 384-2100
WISCONSIN SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
3305 S 20TH ST, STE 150
MILWAUKEE, WI 53215
Milwaukee County (414) 384-2100
LAURA L SICKLEY PT, DPT
Physical Therapist
3305 S 20TH ST
MILWAUKEE, WI 53215
Milwaukee County (414) 645-1808
NAVTEJ S PUREWAL MDSC
Anesthesiology
3305 S 20TH ST, STE 150
MILWAUKEE, WI 53215
Milwaukee County (414) 384-2100
DR. IFEYINWA N IGWE M.D.
Anesthesiology (Pain Medicine)
3305 S 20TH ST
MILWAUKEE, WI 53215
Milwaukee County (414) 645-1984
DR. SCOTT T HARDIN MD
Physical Medicine & Rehabilitation
3305 S 20TH ST
MILWAUKEE, WI 53215
Milwaukee County (414) 645-1808

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 1205240686. It was assigned to this organization in the NPPES registry on June 13, 2014.

Where is Lakeshore Medical Clinic located?

Lakeshore Medical Clinic is located at 3305 S 20th St Suite 100, Milwaukee, WI 53215. The listed phone number is (414) 645-1808.

What is Lakeshore Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Medical Clinic was last updated on June 13, 2014. 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.