Lakeside Orthopedic Institute Llc

LBN: Lakeside Orthopedic Institute Llc
Lakeside Orthopedic Institute Llc is an health care organization with primary practice located at 25 Riviera Blvd , Lake Havasu City AZ 86403-5694. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Lakeside Orthopedic Institute Llc can be contacted via phone (928) 505-5555, or through Heiner, Daniel Edward via phone (928) 505-5555.

Contact Information

Primary practice address
25 Riviera Blvd Lake Havasu City AZ 86403-5694
Phone: (928) 505-5555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heiner, Daniel Edward Doctor of Medicine (MD)
Phone: (928) 505-5555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X

Profile Details

NPI number 1679764229
LBN Legal business name Lakeside Orthopedic Institute Llc
DBA Doing business as
Authorized official Heiner, Daniel Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2007
Last updated Aug 17th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679764229 NPPES
Arizona Other DF0357 MEDICARE RAILROAD

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