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Contact Information

LAKESIDE ORTHOPEDIC INSTITUTE, LLC
150 EAST TYSON RD
QUARTZSITE, AZ85359
 Phone: 928-505-5555
 Fax: 928-505-2877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LAKESIDE ORTHOPEDIC INSTITUTE, LLC

NPI Number 1902137417
LBN Legal business name LAKESIDE ORTHOPEDIC INSTITUTE, LLC
Authorized official WILLIAM BINDER - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2010
Last updated 02/17/2011 - About 15 years ago
Identifiers
AZ License # 0554
AZ License # 13802
AZ License # 23186
AZ License # 26379
AZ License # 34564
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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