Lakeside Orthopedic Institute, Llc

LBN: Lakeside Orthopedic Institute, Llc
Lakeside Orthopedic Institute, Llc is an health care organization with primary practice located at 1979 Mcculloch Blvd N Suite 101, Lake Havasu City AZ 86403-0953. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Lakeside Orthopedic Institute, Llc can be contacted via phone (928) 855-4842, or through Johnson, Wesley James via phone 92885455555.

Contact Information

Primary practice address
1979 Mcculloch Blvd N Suite 101 Lake Havasu City AZ 86403-0953
Phone: (928) 855-4842
Fax: (928) 855-7452
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Wesley James Doctor of Medicine (MD)
Phone: 92885455555

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2641 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8192 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6762 Arizona

Profile Details

NPI number 1962636050
LBN Legal business name Lakeside Orthopedic Institute, Llc
DBA Doing business as
Authorized official Johnson, Wesley James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated May 5th, 2009 - about 15 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.

Request for update

Popular Providers