Lakeside Orthopedics PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LAKESIDE ORTHOPEDICS PC

Practice address

1413 South Washinton
Suite 200
Papillion, NE 68046

Phone

(402) 758-5690

Fax

(402) 758-5699

NPI assigned

Aug 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nancy J. Mickelson

Title

Office Manager

Phone

(402) 758-5690

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1508058835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT",
            "address_2": "SUITE 208",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304664",
            "telephone_number": "402-758-5690",
            "fax_number": "402-758-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 SOUTH WASHINTON",
            "address_2": "SUITE 200",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68046",
            "telephone_number": "402-758-5690",
            "fax_number": "402-758-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-758-5690",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025497200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Ann L'Heureux, REGISTERED NURSE
• Michele Lafleur
• Noemi Lagman
• Delfino Lagunas
• Maleia Suzanne-Rome Lake, OTR/L
• Julie Lam
• Cary Lambert
• Misuk NMN Lambert
• Jessica Lambrecht
• Monykka Danae Lampman

• Customized Equipment (DME) in Papillion, NE
• Providers in Papillion, NE by specialty
• Customized Equipment (DME) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.