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NPI 1508058835

OrganizationActive

Lakeside Orthopedics PC

NPI 1508058835 · Customized Equipment (DME) · Papillion, NE

Provider details

NPI number: 1508058835
Entity type: Organization
Primary specialty: Customized Equipment (DME)Suppliers
Authorized official: Nancy Mickelson, Office Manager

Practice location

1413 South Washinton

Suite 200

Papillion, NE 68046

Phone: (402) 758-5690

Fax: (402) 758-5699

More NE providers

Mailing address

16909 Lakeside Hills Ct

Omaha, NE 68130-4664

Registry dates

Enumerated: 2007-08-10
Last updated: 2007-11-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lakeside Orthopedics PC — NPI 1508058835, Papillion, NE | NPI Central