Lakeshore Medical Clinic Ltd
NPI 1174851893 · Family Medicine Physician · South Milwaukee, WI
Lakeshore Medical Clinic Ltd is a Family Medicine Physician organization in South Milwaukee, WI (NPI 1174851893).
Provider details
- NPI number
- 1174851893
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Masood Wasiullah, President(414) 744-6589
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lmc Bucyrus Medical
Registry dates
- Enumerated
- 2009-11-19
- Last updated
- 2010-04-28
Frequently asked questions
- What is Lakeshore Medical Clinic Ltd's NPI number?
- Lakeshore Medical Clinic Ltd's National Provider Identifier (NPI) is 1174851893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Medical Clinic Ltd?
- Lakeshore Medical Clinic Ltd is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Medical Clinic Ltd located?
- Lakeshore Medical Clinic Ltd's practice location on file with NPPES is 1100 Milwaukee Ave, South Milwaukee, WI 53172-2013.
- What is Lakeshore Medical Clinic Ltd's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Medical Clinic Ltd is (414) 764-4003.
- Who is the authorized official for Lakeshore Medical Clinic Ltd?
- The authorized official listed on Lakeshore Medical Clinic Ltd's NPPES record is Masood Wasiullah, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Medical Clinic Ltd's NPI active?
- Yes — Lakeshore Medical Clinic Ltd's NPI (1174851893) is active in the NPPES registry as of the last update on 2010-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.