LAKESHORE MEDICAL CLINIC, LLC
NPI 1790980191
Durable Medical Equipment & Medical Supplies in Milwaukee, WI

Active since June 18, 2007
3305 S 20TH ST, MILWAUKEE, WI 53215(414) 645-1808 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 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 1790980191) is a healthcare organization registered as a durable medical equipment & medical supplies in Milwaukee, Wisconsin and active in the NPI registry since June 2007. The organization lists Michael Bania, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1790980191
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKESHORE MEDICAL CLINIC, LLC
Location Address3305 S 20TH STMilwaukee, WI 53215-4940
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326
Organization SubpartNo
Authorized OfficialMichael BaniaSenior Director · (414) 766-9094
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 20, 2017
NPI 1790980191 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.

3305 S 20TH ST, Milwaukee, WI 53215

Other Identifiers 1

Medicare ID-Type Unspecified0458040009WI

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.

Anesthesiology
3305 S 20TH ST, SUITE 150
MILWAUKEE, WI 53215
Physical Therapist
3305 S 20TH ST
MILWAUKEE, WI 53215
Anesthesiology
3305 S 20TH ST, SUITE 150
MILWAUKEE, WI 53215
Nurse Practitioner (Family)
3305 S 20TH ST, SUITE 100
MILWAUKEE, WI 53215
Clinic/Center (Ambulatory Surgical)
3305 S 20TH ST, STE 150
MILWAUKEE, WI 53215
Physical Therapist
3305 S 20TH ST
MILWAUKEE, WI 53215
Anesthesiology
3305 S 20TH ST, STE 150
MILWAUKEE, WI 53215
Anesthesiology (Pain Medicine)
3305 S 20TH ST
MILWAUKEE, WI 53215

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 1790980191. 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 3305 S 20th St, Milwaukee, WI 53215. The listed phone number is (414) 645-1808.

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 July 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.