Lakeshore Medical Clinic Llc
Durable Medical Equipment & Medical Supplies
200 E Ryan Rd, Oak Creek
Wisconsin, 53154-4563
414-570-3590 414-570-3599
Lakeshore Medical Clinic Llc is a Durable Medical Equipment & Medical Supplies in Oak Creek, Wisconsin. It is located at 200 E Ryan Rd, Oak Creek and it's customer support contact number is 414-570-3590. The authorized person of Lakeshore Medical Clinic Llc is Kara Richardson who is Asst Treasurer of this DME and his contact number is 704-631-0450. Lakeshore Medical Clinic Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lakeshore Medical Clinic Llc is 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.
DME Supplier Details:
Lakeshore Medical Clinic Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Lakeshore Medical Clinic Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 200 E Ryan Rd, Oak Creek,
Wisconsin, 53154-4563 |
| Phone: | 414-570-3590 |
| Fax: | 414-570-3599 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kara Richardson |
| Position: | Asst Treasurer |
| Contact Number: | 704-631-0450 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1154840163 |
| NPI Enumeration Date: | 12 Sep, 2017 |
| NPI Last Update On: | 14 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeshore Medical Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Lakeshore Medical Clinic Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7719890730 | O20171222000166 | Lakeshore Medical Clinic Llc | DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3301 W Forest Home Ave,
Milwaukee, Wisconsin |
| Zip: | 53215-2843 |
| Phone Number: | 414-647-6326 |
Patients can reach Lakeshore Medical Clinic Llc at
200 E Ryan Rd, Oak Creek, Wisconsin or can
call on customer care at 414-570-3590.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.