Organization · Type 2 NPI

Lakeside Orthopedic Institute, LLC

Family Medicine Physician · Lake Havasu City, AZ

NPI number 1356099790 Active

Practice location

1720 Mesquite Ave Ste 100
Lake Havasu City, AZ 86403-5602

Call (928) 505-5555 Map

Fax (928) 505-5557

Mailing address

25 Riviera Blvd
Lake Havasu City, AZ 86403-5694

Other practice locations

  • 2035 Mesquite Ave Ste C, Lake Havasu City, AZ 86403-5894 · (928) 505-5555

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1356099790

Lakeside Orthopedic Institute, LLC's National Provider Identifier is 1356099790, issued on Mar 15, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Apr 22, 2026.