LAKESHORE INTERVENTIONAL TREATMENT CENTER LLC

Pain Clinic/Center · TEMPE, AZ

Organization Active NPI 1043701543

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pain Clinic/Center261QP3300X
Surgery Physician208600000X
Ambulatory Surgical Clinic/Center261QA1903XAZ
Multi-Specialty Clinic/Center261QM1300X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.