Organization · Type 2 NPI
Lakeside Orthopedics PC
Customized Equipment (DME) · Papillion, NE
NPI number
1508058835
Active
Practice location
1413 South Washinton, Suite 200
Papillion, NE 68046
Fax (402) 758-5699
Mailing address
16909 Lakeside Hills Ct, Suite 208
Omaha, NE 68130-4664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1508058835
Lakeside Orthopedics PC's National Provider Identifier is 1508058835, issued on Aug 10, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Papillion, NE. The record was last updated on Nov 15, 2007.