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OrganizationMedicare enrolled
Lakeside Physicians LLC
Nurse Practitioner · Tucson, AZ
Source: NPPES NPI RegistryFetched 2026-10-20
Public record
- NPI
- 1000001202
- Enumeration date
- 2025-08-02
- Last updated
- 2025-10-14
- Practice location
- 2580 Riverside DrTucson, AZ 85712
- Taxonomies
- Nurse Practitioner363L00000XPrimary
- Orthopaedic Surgery207X00000X
- Website
- Not listed
- Medicare
- Enrolled