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LAKESHORE MEDICAL CLINIC, LLC
NPI 1922356252
Durable Medical Equipment & Medical Supplies in Muskego, WI

Active since August 16, 2012
S68W15500 JANESVILLE RD, MUSKEGO, WI 53150(414) 764-3241(414) 762-4225 Get Directions Write a Review

NPPES record last updated: October 14, 2025. 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 1922356252) is a healthcare organization registered as a durable medical equipment & medical supplies in Muskego, Wisconsin and active in the NPI registry since August 2012. The organization lists Kara Richardson, Asst Treasurer, as its authorized official.

NPPES Registry Identity

NPI1922356252
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKESHORE MEDICAL CLINIC, LLC
Location AddressS68W15500 JANESVILLE RDMuskego, WI 53150-2613
Mailing Address100 15th Ave Ste 180South Milwaukee, WI 53172-1160 · (414) 768-5430 · Fax (414) 762-4225
Phone(414) 764-3241
Fax(414) 762-4225
Organization SubpartNo
Authorized OfficialKara RichardsonAsst Treasurer · (704) 631-0450
Enumeration DateAugust 16, 2012
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1922356252 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.
S68W15500 JANESVILLE RD, Muskego, WI 53150
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Other Providers at the Same Location NPPES 11

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

DIANA L RAWSON APNP
Nurse Practitioner
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-2180
AURORA PHARMACY INC.
Pharmacy (Clinic Pharmacy)
S68W15500 JANESVILLE RD, SUITE 100
MUSKEGO, WI 53150
Waukesha County (414) 422-4257
DR. JEANETTE A KALUPA N.P.
Nurse Practitioner
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
PHILLIP AVILA MD
Family Medicine
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
MOLLY YURK NP
Nurse Practitioner
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
DR. CHRISTOPHER JOSEPH BERMUDEZ MD
Family Medicine
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
MRS. DEANNE J KEIM DPM
Podiatrist
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-2180
DR. JODI M KORNAK M.D.
Otolaryngology
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000

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 1922356252. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Lakeshore Medical Clinic, LLC located?

Lakeshore Medical Clinic, LLC is located at S68w15500 Janesville Rd, Muskego, WI 53150. The listed phone number is (414) 764-3241.

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 October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.