Lakeside Pain Center Prof. LLC
NPI #1295478907 in Watertown, South Dakota
Provider Information
- NPI Number
- 1295478907
- Entity Type
- Organization
- Organization Name
- Lakeside Pain Center Prof. LLC
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 1512 4TH ST NE
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201-6824
- Phone
- (605) 884-0100
Authorized Official
- Name
- AUSTIN J BECK, DO
- Title
- PHYSICIAN
- Phone
- (605) 884-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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