Lakeside Orthopedic Institute, Llc
Family Medicine
1720 Mesquite Ave Ste 100, Lake Havasu City
Arizona, 86403-5602
928-505-5555 928-505-5557
Lakeside Orthopedic Institute, Llc is not a DME supplier for medicare equipment and products.Lakeside Orthopedic Institute, Llc is a Family Medicine in Lake Havasu City, Arizona. This organization is also known as sub part of Lakeside Orthopedic Institute, Llc. It is located at 1720 Mesquite Ave Ste 100, Lake Havasu City and it's customer support contact number is 928-505-5555. The authorized person of Lakeside Orthopedic Institute, Llc is Daniel Edward Heiner who is Authorized Official of this DME and his contact number is 928-505-5555.
Lakeside Orthopedic Institute, Llc is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
DME Supplier Details:
Lakeside Orthopedic Institute, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Lakeside Orthopedic Institute, Llc |
| Type: | Family Medicine |
| Location: | 1720 Mesquite Ave Ste 100, Lake Havasu City, Arizona, 86403-5602 |
| Phone: | 928-505-5555 |
| Fax: | 928-505-5557 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Daniel Edward Heiner |
| Position: | Authorized Official |
| Contact Number: | 928-505-5555 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1356099790 |
| Parent Organization: | Lakeside Orthopedic Institute, Llc |
| NPI Enumeration Date: | 15 Mar, 2022 |
| NPI Last Update On: | 12 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeside Orthopedic Institute, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 25 Riviera Blvd, Lake Havasu City, Arizona |
| Zip: | 86403-5694 |
| Phone Number: | 928-505-5555 |
| Fax Number: | 928-505-5557 |
Patients can reach Lakeside Orthopedic Institute, Llc at
1720 Mesquite Ave Ste 100, Lake Havasu City, Arizona or can
call on customer care at 928-505-5555.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.