Lakeside Orthopedics PC

NPI #1417149741 in Omaha, Nebraska

Provider Information

NPI Number: 1417149741
Entity Type: Organization
Organization Name: Lakeside Orthopedics PC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Aug 10, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 16909 LAKESIDE HILLS CT
Address 2: SUITE 208
City: Omaha
State: Nebraska
ZIP Code: 68130-4664
Phone: (402) 758-5690

Authorized Official

Name: MRS. NANCY J MICKELSON
Title: OFFICE MANAGER
Phone: (402) 758-5690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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