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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKESIDE HEALTHCARE LLC

Active Organization

LAKESIDE HEALTHCARE LLC is a Exclusive Provider Organization organization located in REDFIELD, South Dakota. NPI 1780990457 is currently active in the NPPES registry. Verify at CMS.

Exclusive Provider Organization · REDFIELD, SD

Registration Details

NPI Number
1780990457
Provider Type
Organization
NPI Issued
Aug 19, 2010 (16.004775119177 yrs)
Last Updated
Aug 19, 2010
License
40127 (SD)

Practice Information

Address
1010 W 5TH ST
REDFIELD, SD, 574692026
Browse SD providers · Browse ZIP 57469
Phone
6054722191
Fax
6054722194
Primary Specialty
Exclusive Provider Organization
302F00000X
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.