Organization
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Active
Parent organization
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Other names
Lakeside Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Authorized official
DANIEL EDWARD HEINER MD (MANAGING PARTNER)
(928) 505-5555
Entity
Organization
Contact information
Practice address
1944 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5729
(928) 505-5555
Mailing address
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403-5694
(928) 505-5555
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
04/22/2026
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