Lakeside Orthopedic Institute, LLC
NPI #1245965581 in Bullhead City, Arizona
Provider Information
- NPI Number
- 1245965581
- Entity Type
- Organization
- Organization Name
- Lakeside Orthopedic Institute, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jul 20, 2022
- Last Updated
- Oct 25, 2023
Practice Location
- Address
- 2440 ADOBE RD STE 101
- City
- Bullhead City
- State
- Arizona
- ZIP Code
- 86442-4486
- Phone
- (928) 505-5555
Authorized Official
- Name
- DANIEL EDWARD HEINER, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (928) 505-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
| Orthopaedic Surgery |
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