Organization · Type 2 NPI

Lakeside Orthopedic Institute LLC

Orthopaedic Surgery Physician · Lake Havasu City, AZ

NPI number 1679764229 Active

Practice location

25 Riviera Blvd
Lake Havasu City, AZ 86403-5694

Call (928) 505-5555 Map

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed
Physical Therapist 225100000XNone listed
Magnetic Resonance Imaging Radiologic Technologist 2471M1202XNone listed

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…

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About NPI 1679764229

Lakeside Orthopedic Institute LLC's National Provider Identifier is 1679764229, issued on Aug 8, 2007. 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 Apr 22, 2026.