Organization · Type 2 NPI
Lakeside Ent & Facial Plastic Surgery LLC
Otolaryngology/Facial Plastic Surgery Physician · Watertown, SD
NPI number
1578468591
Active
Practice location
1516 4th St NE
Watertown, SD 57201-6824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
3 other providers at this address
About NPI 1578468591
Lakeside Ent & Facial Plastic Surgery LLC's National Provider Identifier is 1578468591, issued on Oct 9, 2026. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Watertown, SD. The record was last updated on Oct 9, 2026.