NPI 1689832016
Lakeside Medical
Practice location
- Address
- 1482 Irene CT, Gardnerville, NV 89460-8205
- Phone
- (775) 265-4072
- Fax
- (775) 265-4062
Authorised official
- Name
- Isaiah Tannaci
- Title
- Owner
- Phone
- (775) 265-4072
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1689832016
- Entity type
- Organization
- NPI issued
- 2 Jun 2008
- Record last updated
- 2 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.