1. Home
  2. Directory
  3. Wisconsin
  4. West Allis
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

LAKESHORE MEDICAL CLINIC, LTD
NPI 1215132055
Durable Medical Equipment & Medical Supplies in West Allis, WI

Active since June 20, 2007
2424 S 90TH ST, WEST ALLIS, WI 53227(414) 328-8777 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lakeshore Medical Clinic, Ltd NPPES

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

LAKESHORE MEDICAL CLINIC, LTD (NPI 1215132055) is a healthcare organization registered as a durable medical equipment & medical supplies in West Allis, Wisconsin and active in the NPI registry since June 2007. The organization lists Masood Wasiullah, President, as its authorized official.

NPPES Registry Identity

NPI1215132055
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKESHORE MEDICAL CLINIC, LTD
Location Address2424 S 90TH STWest Allis, WI 53227-2455
Mailing Address2424 S 90th StWest Allis, WI 53227-2455 · (414) 328-8777
Phone(414) 328-8777
Organization SubpartNo
Authorized OfficialMasood WasiullahPresident · (414) 389-2377
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 29, 2009
✔ NPI 1215132055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2424 S 90TH ST, West Allis, WI 53227
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0458040011WI

Other Providers at the Same Location NPPES 20

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

DR. SIMIN GOLESTANI M.D.
Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8080
SUSAN MANZ LARSON MD
Physical Medicine & Rehabilitation
2424 S 90TH ST, SUITE 500
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8600
NICOLE F JENSEN LPC
Counselor (Mental Health)
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 773-4312
WALTER K T WONG MD SC
Psychiatry & Neurology (Neurology)
2424 S 90TH ST, STE. 202
WEST ALLIS, WI 53227
Milwaukee County (414) 328-7646
DR. JUSTIN WILLIAM PETERSON D.O.
Orthopaedic Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255
VIRGINIA R KUENZI NP
Nurse Practitioner
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8150
JONATHAN E KIECHLE
Urology
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 649-1280
LINDSEY MARIA KASTNER PT, DPT, ATC
Physical Therapist
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255

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 1215132055. It was assigned to this organization in the NPPES registry on June 20, 2007.

Where is Lakeshore Medical Clinic, Ltd located?

Lakeshore Medical Clinic, Ltd is located at 2424 S 90th St, West Allis, WI 53227. The listed phone number is (414) 328-8777.

What is Lakeshore Medical Clinic, Ltd's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Medical Clinic, Ltd was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.