Organization · Type 2 NPI

Lakeside Neurology LLC

Specialist · Lake Havasu City, AZ

NPI number 1609055276 Active

Practice location

2180 Mcculloch Blvd N
Lake Havasu City, AZ 86403-6879

Call (928) 680-8282 Map

Fax (928) 680-8288

Mailing address

PO Box 1440
Lake Havasu City, AZ 86405-1440

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X28212 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609055276

Lakeside Neurology LLC's National Provider Identifier is 1609055276, issued on Oct 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Oct 30, 2007.