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

Lakeside Orthopedic Institute LLC

Organization Orthopaedic Surgery Physician · NPI 1275564916

Lakeside Orthopedic Institute LLC is an Orthopaedic Surgery Physician in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
9
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

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648
Phone: (928) 855-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 13802 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 23186 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 34564 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 26379 (AZ)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 0554 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 2641 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 8192 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 6762 (AZ)

Record details

NPI number1275564916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Heiner — Managing Partner · (928) 505-5555
NPI enumeratedJuly 5, 2006
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648

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