Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PINETOP-LAKESIDE INTEGRATIVE & PHYSICAL MEDICINE,LLC
Active OrganizationPINETOP-LAKESIDE INTEGRATIVE & PHYSICAL MEDICINE,LLC is a Pain Medicine (PM&R) organization located in LAKESIDE, Arizona. NPI 1376864462 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · LAKESIDE, AZ
Registration Details
- NPI Number
- 1376864462
- Provider Type
- Organization
- NPI Issued
- Jun 13, 2010 (16.216980730029 yrs)
- Last Updated
- Jun 13, 2010
- Licenses
-
34673 (AZ)34673 (AZ)
Practice Information
- Address
-
1628 REED LNLAKESIDE, AZ, 859296983Browse AZ providers · Browse ZIP 85929
- Phone
- 9283581648
- Fax
- 9283685178
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.