Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeshore United LLC

Organization Surgery Physician · NPI 1902446495

Lakeshore United LLC is a Surgery Physician in Tempe, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4765 S Lakeshore Dr
Tempe, AZ 85282-7197
Phone: (480) 646-3258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Surgery Physician Taxonomy 208600000X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1902446495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Buckner — Sole Member · (602) 421-2730
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing addressPo Box 11180, Tempe, AZ 85284-0020

Other providers in Tempe