Orthopaedic Surgery
LAKESIDE ORTHOPEDIC INSTITUTE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679764229 · enumerated 2007-08-08 · record updated 2026-04-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DANIEL HEINER MD, PARTNER · (928) 505-5555
Addresses and phones
- Mailing address 25 RIVIERA BLVD, LAKE HAVASU CITY, AZ, 86403-5694 (928) 505-5555 Google Maps Apple Maps OpenStreetMap
- Practice location 25 RIVIERA BLVD, LAKE HAVASU CITY, AZ, 86403-5694 (928) 505-5555 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X
- Radiologic Technologist, Magnetic Resonance Imaging 2471M1202X
- Pain Medicine, Interventional Pain Medicine 208VP0014X
- Orthopaedic Surgery 207X00000X · Primary
In this directory
Locations and evidence
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Practice location
LAKE HAVASU CITY, AZ, 864035694
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.