LAKESIDE NEUROLOGY LLC NPI 1609055276

NPI Information

LAKESIDE NEUROLOGY LLC is a specialist in Lake Havasu City, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKESIDE NEUROLOGY LLC NPI is 1609055276. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Tin T. Win, M.d..

The provider's business location address is:

2180 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ
ZIP 86403-879
Phone: (928) 680-8282
Fax: (928) 680-8288

The provider's authorized official is Tin T Win .
The authorized official title is Owner and has the following contact phone number (928) 680-8282.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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