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

Lakeside Orthopedic Institute, LLC

Organization Family Medicine Physician · NPI 1356099790

Lakeside Orthopedic Institute, LLC is a Family Medicine Physician in Lake Havasu City, Arizona. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1720 Mesquite Ave Ste 100
Lake Havasu City, AZ 86403-5602
Phone: (928) 505-5555
Fax: (928) 505-5557
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2035 Mesquite Ave Ste C, Lake Havasu City, AZ 86403-5894 — (928) 505-5555

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1356099790
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLakeside Orthopedic Institute, LLC
Authorized official Daniel Heiner — Authorized Official · (928) 505-5555
Other names Lakeside Primary Care; Lakeside Primary Care
NPI enumeratedMarch 15, 2022
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address25 Riviera Blvd, Lake Havasu City, AZ 86403-5694

Other providers in Lake Havasu City