Active NPI
Lakeside Kidney Care, LLC
- Nephrology Physician
- Tavares, FL
National Provider Identifier
1730059478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- LAKESIDE KIDNEY CARE, LLC
- Practice address
- 3631 W Burleigh Blvd
Tavares, FL 32778-5803 - Phone
- (352) 742-0025
- Fax
- (352) 742-0025
- NPI assigned
- Nov 7, 2025
- Last updated
- Nov 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lubna Aslam Rashid, MD
- Title
- Owner
- Phone
- (201) 993-8445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
3631 W Burleigh Blvd
Tavares, FL 32778-5803
Mailing address
17424 4TH St
Montverde, FL 34756-3272
Phone (201) 993-8445
National Provider Directory
National Provider Directory- Tax ID family
- Lakeside Kidney Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Tavares, FL
- NPI 1154291896
-
- Nephrology Physician
- Tavares, FL
- NPI 1326918061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762473600000",
"number": "1730059478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17424 4TH ST",
"city": "MONTVERDE",
"state": "FL",
"postal_code": "347563272",
"telephone_number": "201-993-8445",
"fax_number": "201-993-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 W BURLEIGH BLVD",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785803",
"telephone_number": "352-742-0025",
"fax_number": "352-742-0025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESIDE KIDNEY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A",
"authorized_official_last_name": "RASHID",
"authorized_official_first_name": "LUBNA",
"authorized_official_middle_name": "ASLAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-993-8445",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.