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LAKESIDE ORTHOPEDIC INSTITUTE, LLC 1548936164

Overview
Name: LAKESIDE ORTHOPEDIC INSTITUTE, LLC Specialty: Mobile Radiology Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Radiology, Mobile. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: LAKESIDE ORTHOPEDIC INSTITUTE, LLC,25 RIVIERA BLVD,LAKE HAVASU CITY,AZ,864035694,US Mailing Address: LAKESIDE ORTHOPEDIC INSTITUTE, LLC,25 RIVIERA BLVD,LAKE HAVASU CITY,AZ,864035694,US
Contact #
Practice location phone #: 9285055555 Practice location fax #: Mailing address Phone #: 9285055555 Mailing Address fax #: Authorized official Name/Telephone #:DANIEL, EDWARD, HEINER, AUTHORIZED OFFICIAL 9285055555
Misc
Date NPI was obtained: 08/23/2021 Last data data was updated: 08/23/2021 Insurances:

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