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

Lakeside Surgery, PA

Organization Specialist · NPI 1851489520

Lakeside Surgery, PA is a Specialist in Rockwall, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3142 Horizon Rd Ste 206
Rockwall, TX 75032-7809
Phone: (972) 722-3290
Fax: (469) 402-2585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence K6483 (TX)
Specialist Taxonomy 174400000X · Licence J2983 (TX)
Specialist Taxonomy 174400000X · Licence P6593 (TX)

Record details

NPI number1851489520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Makohon — Surgeon/Owner · (972) 722-3290
Other names Lakeside Surgery, P.A.
NPI enumeratedOctober 10, 2006
Last updated in NPPESJune 7, 2013
Mailing address2850 Shoreline Trl, Pmb 154, Rockwall, TX 75032-5508

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