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Lakeshore United LLC

Ambulatory Surgical Clinic/Center in Tempe, AZ · enumerated 2020 · authorized official Jeremy Buckner, Sole Member.

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

National Provider Identifier

1902446495

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeshore United LLC
Practice address 4765 S Lakeshore Dr, Tempe, AZ, 85282
Phone (480) 646-3258
Enumeration date Jan 13, 2020
Last updated in NPPES Jan 13, 2020

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary
261QP3300X Pain Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jeremy Buckner
Title Sole Member
Phone (602) 421-2730

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

Who is the authorized official for Lakeshore United LLC?
NPPES lists Jeremy Buckner (Sole Member) as the authorized official for this organization.
What is the NPI number for Lakeshore United LLC?
The NPI for Lakeshore United LLC is 1902446495, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-13.