LAKESHORE MEDICAL CLINIC
NPI 1629206230
Durable Medical Equipment & Medical Supplies in Mequon, WI

Q: What is Lakeshore Medical Clinic's NPI number?

The NPI number for Lakeshore Medical Clinic is 1629206230. It was assigned to this organization in the NPPES registry on June 23, 2009.

Q: What is Lakeshore Medical Clinic's specialty?

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

Active since June 23, 2009

10520 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 241-8000 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Lakeshore Medical Clinic NPPES

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

LAKESHORE MEDICAL CLINIC (NPI 1629206230) is a healthcare organization registered as a durable medical equipment & medical supplies in Mequon, Wisconsin and active in the NPI registry since June 2009. The organization lists Masood Wasiullah, President, as its authorized official.

NPPES Registry Identity

NPI1629206230

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameLAKESHORE MEDICAL CLINIC

Location Address10520 N PORT WASHINGTON RDMequon, WI 53092-5537

Mailing Address100 15th AveSouth Milwaukee, WI 53172-1160 · (414) 768-5430

Phone(262) 241-8000

Organization SubpartNo

Authorized OfficialMasood WasiullahPresident · (262) 241-8000

Enumeration DateJune 23, 2009

✔ NPI 1629206230 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.

10520 N PORT WASHINGTON RD, Mequon, WI 53092

Open in Google Maps ↗

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 1629206230. It was assigned to this organization in the NPPES registry on June 23, 2009.

Where is Lakeshore Medical Clinic located?

Lakeshore Medical Clinic is located at 10520 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 241-8000.

What is Lakeshore Medical Clinic'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 was last updated on June 23, 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.