OrganizationActive
Lakeshore Medical Clinic, Ltd
NPI 1336337187 · Durable Medical Equipment & Medical Supplies · Greenfield, WI
Provider details
- NPI number
- 1336337187
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Masood Wasiullah, President(414) 744-6589
Specialties & taxonomies
Suppliers
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4131 W Loomis Rd
Ste 110
Greenfield, WI 53221-2057
Phone: (414) 281-5153
Street-level locationGet directions
Mailing address
4131 W Loomis Rd
Greenfield, WI 53221-2057
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2009-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.