| NPI | 1972373710 |
|---|---|
| Doing Business As | LAKESIDE URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | DANIEL EDWARD HEINER Managing Partner 928-505-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |