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

LAKESHORE MEDICAL CLINIC, LLC
NPI 1962607366
Durable Medical Equipment & Medical Supplies in New Berlin, WI

Active since June 18, 2007
14555 W NATIONAL AVE, STE 165, NEW BERLIN, WI 53151(262) 827-2959 Get Directions Write a Review

NPPES record last updated: July 20, 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 1962607366) is a healthcare organization registered as a durable medical equipment & medical supplies in New Berlin, Wisconsin and active in the NPI registry since June 2007. The organization lists Michael Bania, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1962607366
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKESHORE MEDICAL CLINIC, LLC
Location Address14555 W NATIONAL AVE, STE 165New Berlin, WI 53151-4494
Mailing Address3301 W Forest Home Ave, Payor ActivationMilwaukee, WI 53215-2843 · (414) 647-6326
Phone(262) 827-2959
Organization SubpartNo
Authorized OfficialMichael BaniaSenior Director · (414) 766-9094
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 20, 2017
✔ NPI 1962607366 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.
14555 W NATIONAL AVE, New Berlin, WI 53151
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified0458040015WI

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.

MS. ANNE E WALZ CALVEY PA-C
Physician Assistant
14555 W NATIONAL AVE, SUITE 165
NEW BERLIN, WI 53151
Waukesha County (262) 827-3636
ORITSETIMEYIN E OTUBU-SCIPIO M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381
RUTH PENA PA-C
Physician Assistant (Medical)
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 693-4312
MICHELLE L MARTIN APNP
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
BRIAN P. MCSORLEY M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
MARA M. SPENCER M.P.T.
Physical Therapist
14555 W NATIONAL AVE, STE. 135
NEW BERLIN, WI 53151
Waukesha County (262) 827-3180
DR. CHRISTINE MIERHA YANG R.PH
Pharmacist
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-9062
KYLA PHU APN
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381

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 1962607366. 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 14555 W National Ave Ste 165, New Berlin, WI 53151. The listed phone number is (262) 827-2959.

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 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.