Organization · Type 2 NPI

Lakeside Orthopedic Institute LLC

Orthopaedic Surgery Physician · Lake Havasu City, AZ

NPI number 1275564916 Active

Practice location

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X13802 (AZ)
Orthopaedic Surgery Physician 207X00000X23186 (AZ)
Orthopaedic Surgery Physician 207X00000X34564 (AZ)
Orthopaedic Surgery Physician 207X00000X26379 (AZ)
Orthopaedic Surgery Physician Primary 207X00000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103X0554 (AZ)
Physical Therapist 225100000X2641 (AZ)
Physical Therapist 225100000X8192 (AZ)
Physical Therapist 225100000X6762 (AZ)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

11 other providers at this address

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About NPI 1275564916

Lakeside Orthopedic Institute LLC's National Provider Identifier is 1275564916, issued on Jul 5, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on May 5, 2026.