Organization · Type 2 NPI

Lakeshore United LLC

Ambulatory Surgical Clinic/Center · Tempe, AZ

NPI number 1902446495 Active

Practice location

4765 S Lakeshore Dr
Tempe, AZ 85282-7197

Mailing address

PO Box 11180
Tempe, AZ 85284-0020

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed
Pain Clinic/Center 261QP3300XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1902446495

Lakeshore United LLC's National Provider Identifier is 1902446495, issued on Jan 13, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Tempe, AZ. The record was last updated on Jan 13, 2020.