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 1679764229

Lakeside Orthopedic Institute LLC is an Orthopaedic Surgery Physician in Lake Havasu City, Arizona. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
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

25 Riviera Blvd
Lake Havasu City, AZ 86403-5694
Phone: (928) 505-5555
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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
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Physical Therapist Taxonomy 225100000X
Magnetic Resonance Imaging Radiologic Technologist Taxonomy 2471M1202X

Record details

NPI number1679764229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Heiner — Partner · (928) 505-5555
NPI enumeratedAugust 8, 2007
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address25 Riviera Blvd, Lake Havasu City, AZ 86403-5694

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