MEDICARE: LAKE SHORE FINANCIALS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1144023060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKE SHORE FINANCIALS LLC

Provider Business Mailing Address
First Line	:	17611 TALL CYPRESS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-5780
Country	:	US
Telephone Number	:	631-672-9745
Fax Number	:

Provider Business Practice Location Address
First Line	:	17611 TALL CYPRESS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-5780
Country	:	US
Telephone Number	:	631-672-9745
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. SYED W QADRI
Credential	:
Telephone Number	:	631-672-9745

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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Directions to “LAKE SHORE FINANCIALS LLC ” Practice Location

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