Lakeshore Respiratory Therapy Care Services, Inc
Oxygen Equipment & Supplies
3203 Lincoln Ave Ste 2, Two Rivers
Wisconsin, 54241-1821
820-683-2068 920-683-9238
Lakeshore Respiratory Therapy Care Services, Inc is a Oxygen Equipment & Supplies in Two Rivers, Wisconsin. It is located at 3203 Lincoln Ave Ste 2, Two Rivers and it's customer support contact number is 820-683-2068. The authorized person of Lakeshore Respiratory Therapy Care Services, Inc is Daniel Haile, REGISTERED NURSE who is Officer of this DME and his contact number is 820-683-2068. Active license number of Lakeshore Respiratory Therapy Care Services, Inc is 9207-45 for Oxygen Equipment & Supplies in Wisconsin. Lakeshore Respiratory Therapy Care Services, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lakeshore Respiratory Therapy Care Services, Inc is a medical supplier who supplies 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 Respiratory Therapy Care Services, Inc 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 Respiratory Therapy Care Services, Inc |
| Type: | Oxygen Equipment & Supplies |
| Location: | 3203 Lincoln Ave Ste 2, Two Rivers,
Wisconsin, 54241-1821 |
| Phone: | 820-683-2068 |
| Fax: | 920-683-9238 |
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: | Daniel Haile |
| Credentials: | REGISTERED NURSE |
| Position: | Officer |
| Contact Number: | 820-683-2068 |
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: | 1598841298 |
| NPI Enumeration Date: | 27 Oct, 2006 |
| NPI Last Update On: | 26 Jul, 2018 |
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 Respiratory Therapy Care Services, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oxygen Equipment & Supplies | 9207-45 | Wisconsin | Primary | |
| Oxygen Equipment & Supplies | 9207-045 | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9207-045 | Other | Wisconsin | State Distributor License |
Medicare Enrollment:
Lakeshore Respiratory Therapy Care Services, Inc 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 |
| 6608026711 | O20121026000234 | Lakeshore Respiratory Therapy Care Services Inc | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH RESPIRATORY THERAPIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3203 Lincoln Ave Ste 2,
Two Rivers, Wisconsin |
| Zip: | 54241-1821 |
| Phone Number: | 820-683-2068 |
| Fax Number: | 920-683-9238 |
Patients can reach Lakeshore Respiratory Therapy Care Services, Inc at
3203 Lincoln Ave Ste 2, Two Rivers, Wisconsin or can
call on customer care at 820-683-2068.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.