Organization · Type 2 NPI

Lakeshore Interventional Treatment Center LLC

Pain Clinic/Center · Tempe, AZ

NPI number 1043701543 Active

Practice location

4765 S Lakeshore Dr
Tempe, AZ 85282

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Ambulatory Surgical Clinic/Center 261QA1903XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Pain Clinic/Center Primary 261QP3300XNone listed

Pain Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1043701543

Lakeshore Interventional Treatment Center LLC's National Provider Identifier is 1043701543, issued on May 21, 2018. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Tempe, AZ. The record was last updated on Feb 4, 2019.