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LAKESHORE MEDICAL CLINIC LLC
NPI 1639374036
Durable Medical Equipment & Medical Supplies in Oak Creek, WI

Active since June 18, 2007
331 E PUETZ RD, OAK CREEK, WI 53154(414) 570-3590 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeshore Medical Clinic Llc NPPES

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

LAKESHORE MEDICAL CLINIC LLC (NPI 1639374036) is a healthcare organization registered as a durable medical equipment & medical supplies in Oak Creek, Wisconsin and active in the NPI registry since June 2007. The organization lists Mike Bania, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639374036
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKESHORE MEDICAL CLINIC LLC
Location Address331 E PUETZ RDOak Creek, WI 53154-3254
Mailing Address331 E Puetz RdOak Creek, WI 53154-3254 · (414) 570-3590
Phone(414) 570-3590
Organization SubpartNo
Authorized OfficialMike BaniaAdministrator · (414) 744-6589
Enumeration DateJune 18, 2007
Last NPPES UpdateApril 6, 2017
✔ NPI 1639374036 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.
331 E PUETZ RD, Oak Creek, WI 53154
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Other Identifiers 1

Medicare NSC0458040010WI

Other Providers at the Same Location NPPES 6

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

KRISTIN M LAVENHAGEN PA-C
Physician Assistant
331 E PUETZ RD, LAKESHORE MEDICAL CLINIC
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
CYNTHIA M STASIK PA
Physician Assistant
331 E PUETZ RD, SUITE 104
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
WILLIAM WEIS DPM SC
Podiatrist
331 E PUETZ RD, SUITE #105
OAK CREEK, WI 53154
Milwaukee County (414) 768-9933
WILLIAM W WEIS DPM
Podiatrist (Foot Surgery)
331 E PUETZ RD, #105
OAK CREEK, WI 53154
Milwaukee County (414) 768-9933
ALLEN RINDFLEISCH APN
Nurse Practitioner (Psychiatric/Mental Health)
331 E PUETZ RD
OAK CREEK, WI 53154
Milwaukee County (414) 877-4570
DR. JOHN VICTOR SHEA DDS
Dentist (Pediatric Dentistry)
331 E PUETZ RD, #106
OAK CREEK, WI 53154
Milwaukee County (414) 768-1020

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 LLC's NPI number?

The NPI number for Lakeshore Medical Clinic LLC is 1639374036. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Lakeshore Medical Clinic LLC located?

Lakeshore Medical Clinic LLC is located at 331 E Puetz Rd, Oak Creek, WI 53154. The listed phone number is (414) 570-3590.

What is Lakeshore Medical Clinic LLC'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 LLC was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.