LAKESHORE UNITED LLC - NPI 1902446495 - Clinic/Center in Tempe, AZ

Q: What is Lakeshore United LLC's NPI number?

The NPI number for Lakeshore United LLC is 1902446495. It was assigned to this organization in the NPPES registry on January 13, 2020.

Q: What is Lakeshore United LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

On this page

About Lakeshore United Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE UNITED LLC (NPI 1902446495) is a healthcare organization registered as an ambulatory surgical in Tempe, Arizona and active in the NPI registry since January 2020. The organization lists Jeremy Buckner, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1902446495

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLAKESHORE UNITED LLC

Location Address4765 S LAKESHORE DRTempe, AZ 85282-7197

Mailing AddressPo Box 11180Tempe, AZ 85284-0020 · (480) 646-3258

Phone(480) 646-3258

Organization SubpartNo

Authorized OfficialJeremy BucknerSole Member · (602) 421-2730

Enumeration DateJanuary 13, 2020

✔ NPI 1902446495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedSurgeryTaxonomy 208600000X

Also ListedClinic/Center · PainTaxonomy 261QP3300X

4765 S LAKESHORE DR, Tempe, AZ 85282

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESHORE INTERVENTIONAL TREATMENT CENTER LLC

Clinic/Center (Pain)