NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053748160 |   |   |   | LAKESHORE MEDICAL CLINIC | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 |
1922356252 |   |   |   | LAKESHORE MEDICAL CLINIC, LLC | 100 15TH AVE | SOUTH MILWAUKEE | WI | 531721160 |