Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lakeshore Medical Clinic Ltd

Organization Family Medicine Physician · NPI 1174851893

Lakeshore Medical Clinic Ltd provides Family Medicine Physician services in South Milwaukee, Wisconsin. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Milwaukee Ave
South Milwaukee, WI 53172-2013 Not confirmed with CMS for 16 years — call before visiting
Phone: (414) 764-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174851893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Masood Wasiullah — President · (414) 744-6589
Other names Lmc Bucyrus Medical
NPI enumeratedNovember 19, 2009
Last updated in NPPESApril 28, 2010
Mailing address100 15th Ave, South Milwaukee, WI 53172-1160

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