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Lakeside Neurology Llc
Specialist in Lake Havasu City, Arizona
NPI 1609055276

Lakeside Neurology Llc is a Specialist based in Lake Havasu City, AZ. Lakeside Neurology Llc practices in Lake Havasu City, AZ. The NPI Number for Lakeside Neurology Llc is 1609055276 and holds a License No. 28212 (Arizona).

The current practice location address for Lakeside Neurology Llc is 2180 Mcculloch Blvd N, Lake Havasu City, AZ and can be reached out via phone at 928-680-8282 and via fax at 928-680-8288.

Location: 2180 Mcculloch Blvd N, Lake Havasu City, AZ, 86405-1440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609055276
Provider Name
Lakeside Neurology Llc
Credential
Provider Entity Type
Organization
Address
2180 Mcculloch Blvd N, Lake Havasu City, AZ, 86405-1440
Phone Number
928-680-8282
Fax Number
928-680-8288
Provider Enumeration Date
10/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659357929 01 AZ GROUP NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
2180 Mcculloch Blvd N
City
Lake Havasu City
State
Arizona
Zip
86403-6879
Phone Number
928-680-8282
Fax Number
928-680-8288
person
Provider Business Mailing Address Details
Address
2180 Mcculloch Blvd N
City
Lake Havasu City
State
Arizona
Zip
86403-6879
Phone Number
928-680-8282
Fax Number
928-680-8288
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
28212 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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