Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Medical Clinic

Organization Family Nurse Practitioner · NPI 1205240686

Lakeshore Medical Clinic provides Family Nurse Practitioner services in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

3305 S 20th St Ste 100
Milwaukee, WI 53215-4940 Not confirmed with CMS for 12 years — call before visiting
Phone: (414) 645-1808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 178111-30 (WI)

Record details

NPI number1205240686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Lavora — Podiatrist · (414) 768-5430
NPI enumeratedJune 13, 2014
Last updated in NPPESJune 13, 2014
Mailing address3305 S 20th St, Suite 100, Milwaukee, WI 53215-4940

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