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Lakeside Neurology LLC

Specialist in Lake Havasu City, AZ · enumerated 2007 · authorized official Tin Win, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609055276

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Neurology LLC
Other name <Unavail>
Practice address 2180 Mcculloch Blvd N, Lake Havasu City, AZ, 86403
Phone (928) 680-8282
Fax (928) 680-8288
Enumeration date Oct 30, 2007
Last updated in NPPES Oct 30, 2007

Taxonomy & classification

174400000X Specialist Other Service Providers · License 28212 (AZ) Primary

Authorized official

Name Tin Win
Title Owner
Phone (928) 680-8282

Other identifiers

Identifier Type State Issuer
1659357929 Other AZ GROUP NPI NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lakeside Neurology LLC?
The NPI for Lakeside Neurology LLC is 1609055276, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakeside Neurology LLC?
NPPES lists Tin Win (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-30.