Lakeside Orthopedic Institute Llc
Orthopedic Surgery · Lake Havasu City, AZ
At a glance
1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648
NPPES record updated May 5, 2026. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
1791 Mesquite AveLake Havasu City, AZ 86403-5648
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Orthopedic Surgery
- Taxonomy code
- 207X00000X
- Enumeration date
- Jul 5, 2006
- Record updated
- May 5, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
207X00000X
License reported: 13802 AZ
207X00000X
License reported: 23186 AZ
207X00000X
License reported: 34564 AZ
207X00000X
License reported: 26379 AZ
207X00000X · Primary
213ES0103X
License reported: 0554 AZ
225100000X
License reported: 2641 AZ
225100000X
License reported: 8192 AZ
225100000X
License reported: 6762 AZ
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1791 Mesquite AveLake Havasu City, AZ 86403-5648
- Phone
- (928) 855-1444
Mailing address
1791 MESQUITE AVELAKE HAVASU CITY, AZ 864035648
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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