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Health Care Providers in Lakeside, Arizona

Organization, NamePractice AddressPractice Phone  TaxonomyNPI
Angelo, Dr. Michael Frederick DPT218 W White Mountain Blvd  Ste. A    Lakeside  AZ 85929-7013928-367-5777225100000X1124437520
Armstrong, Rachel Denise CPNP43 W White Mountain Blvd Ste B      Lakeside  AZ 85929-7002928-367-1300363LP0200X1073837886
MEDICAID AZ : 545716
Arnett, Dr. William Walter Jr. PSY.D.372c W White Mountain Blvd      Lakeside  AZ 85929-6906928-367-8243103TC0700X1962565036
MEDICAID AZ : 492869
Bentley, Garrett A DO2963 W White Mountain Blvd      Lakeside  AZ 85929-6257928-537-5437207Q00000X1558709121
Bierer, Elizabeth Wild MD5658 Highway 260  Suite 24    Lakeside  AZ 85929-5189928-537-4379207Q00000X1821329129
Birdno, Mr. Curtis Vance PA-C2963 W White Mountain Blvd      Lakeside  AZ 85929-6257928-537-5437363AM0700X1063740884
Bligh Robertson, Susan CNM5658 Highway 260  Suite 24    Lakeside  AZ 85929-5189928-537-4379367A00000X1902877590
MEDICAID AZ : 459942
Brimhall, Ian Kay DO4830 Highway 260  Ste 103    Lakeside  AZ 85929-5845928-537-8777207X00000X1467652875
MEDICAID AZ : 316896 || OTHER AZ RENDERING PROVIDER TRANSACTION ACCESS NUMBER(PTAN) : Z122726
Brumfield, Suzanne C. OTR/L, CLT218 W White Mountain Blvd  Suite A & B    Lakeside  AZ 85929-7013928-367-5777225X00000X1043623366
Chappelle, Mrs. Irene Elizabeth L.AC5722 Webb Dr      Lakeside  AZ 85929-5194928-242-0949171100000X1295128742
Courtney, Joan V C. HT.163 W White Mountain Blvd  Suite-c    Lakeside  AZ 85929-7004928-367-8208101Y00000X1841312295
Cox, Eric 100 W White Mountain Blvd Ste D      Lakeside  AZ 85929-6878928-367-3913225100000X1275565160
Cox, Kent W M.D.5448 White Mountain Blvd  Suite 140    Lakeside  AZ 85929-5739928-532-0072207Y00000X1548252109
OTHER AZ BLUE CROSS BLUE SHIELD : AZ0824160 || OTHER AZ CCN : 2245796 || OTHER AZ HEALTHNET : 2Z1140 || OTHER AZ RAN : 153886 || MEDICAID AZ : 431057
Crawford, Gaylon D.O.300 W White Mountain Blvd  Ste D    Lakeside  AZ 85929-7014928-368-4547207Q00000X1265402622
MEDICAID AZ : 368333
Donnelly, Richard E P.A.-C.43 W. White Mountain Blvd      Lakeside  AZ 85929-7002928-367-4040363AS0400X1396729455
OTHER AZ TRIWEST : 86080015085259A253 || MEDICAID MN : 558930400 || MEDICAID AZ : 342254 || OTHER AZ RAILROAD MEDICARE : 970001299
Driss, Leon A MD300 W White Mountain Blvd  Suite A    Lakeside  AZ 85929-7014928-367-1077207R00000X1669445706
MEDICAID AZ : 542416
Ellsworth, Rachel K PT4830 Highway 260  Ste 105    Lakeside  AZ 85929-5845928-532-1221225100000X1316490949
Fischer, Linda Marie FNP-C5658 White Mountain Blvd Ste 21      Lakeside  AZ 85929-5189(92-8) -358-1221363L00000X1164737599
MEDICAID AZ : 549411
Fletcher, Kimberly 3401 Lockwood Dr      Lakeside  AZ 85929-5613928-368-2060225200000X1508259417
Garskof, Mr. Mark Mitchell M.D.2963 W White Mountain Blvd      Lakeside  AZ 85929-6257928-368-0765207Q00000X1568445211
OTHER AZ BCBS : AZ0389120 || MEDICAID AZ : 200262
Goodman, Dr. Patrick Adam DMD5060 Highway 260      Lakeside  AZ 85929-5150928-532-44511223G0001X1801852850
Greco, Anthony Daniel MD5658 White Mountain Blvd  Suite 7    Lakeside  AZ 85929-5189928-532-5463208600000X1912978867
OTHER AZ BLUE CROSS BLUE SHIELD AZ : AZ0789570 || MEDICAID AZ : 179318
Green, Melissa CRNA5080 Mogollon Rim Dr      Lakeside  AZ 85929-5530480-297-5926367500000X1144258989
MEDICAID IN : 200513500 || OTHER AZ MEDICARE PROVIDER : Z142693
Hall, Hugh Ryan DPM5448 White Mountain Blvd Ste 270      Lakeside  AZ 85929-5738928-532-5227213ES0103X1952352619
MEDICAID AZ : 087223
Hall, Ms. Karen Olsen BS RD2332 Hall Dr      Lakeside  AZ 85929-5604928-242-5098133V00000X1003070996
Hanson, Marshall DDS21 W White Mountain Blvd      Lakeside  AZ 85929-7001928-367-4276122300000X1043419245
Harte, Jacqueline Susan L.AC1916 W Woodland Lake Rd      Lakeside  AZ 85929-6470928-367-2551171100000X1831392604
Hegarty, Mary Katherine PT4830 Highway 260 Ste 105      Lakeside  AZ 85929-5851928-532-1221225100000X1215425202
Heiser, Ms. Kathleen Elizabeth SLPA3401 Lockwood Dr      Lakeside  AZ 85929-5613928-368-20602355S0801X1679822704
Kessler, Dr. Thomas Melvin M.D.5658 Arizona 260      Lakeside  AZ 85929928-537-4379207QG0300X1578590279
Kyrimis, Melissa Ann MD5448 White Mountain Blvd Ste 200      Lakeside  AZ 85929-5732928-535-6667207V00000X1346211901
MEDICAID NV : 100507398
Lesueur, Jeffrey Rayne M.D.5448 Highway 260  Suite 140    Lakeside  AZ 85929-5739928-532-0072207Y00000X1336366335
Lewis, John Corbridge APRN-RNP1789 Commerce Dr      Lakeside  AZ 85929-5354928-368-4400363LA2200X1619436771
Lindstrom, Sarah 3401 Lockwood Dr      Lakeside  AZ 85929-5613928-368-2060224Z00000X1366833873
Martin, Mrs. Bobette S M.A.,CCC-A5658 Highway 260  Ste 4    Lakeside  AZ 85929-5189928-537-7373231H00000X1568465995
MEDICAID AZ : 562670
Mcavoy, Tyler Dillon RPH, PHARMD20 E White Mountain Blvd      Lakeside  AZ 85929-6807928-367-5442183500000X1962984252
Meier-bennett, Dr. Vera A. MD4672 Maverick Ln  Suite 1    Lakeside  AZ 85929-5434928-358-46202080A0000X1326085572
MEDICAID AZ : 619449
Moffat, Dr. Jeffrey L MD5448 S White Mountain Road  Suite 270    Lakeside  AZ 85929-4802928-532-5838207Q00000X1962469783
MEDICAID AZ : 286387
Neel, Daniel MD5658 W Highway 260  Suite 19    Lakeside  AZ 85929-5189928-532-5838207Q00000X1073584645
MEDICAID AZ : 285438 || OTHER AZ BLUE CROSS BLUE SHIELD AZ : AZ0325980
Peace, Dr. Donna Jean MD, MSWPeace Family Medicine, Pc  218 W White Mountain Blvd, Ste D    Lakeside  AZ 85929-0000928-367-9995207Q00000X1346265501
MEDICAID AZ : 836190
Puchowicz, Michael Joseph M.D.4830 Highway 260  Suite 102    Lakeside  AZ 85929-5845928-537-10402080S0010X1134452303
Reagan, Jeffrey Maurice M.D.4830 Highway 260 Ste 103      Lakeside  AZ 85929-5851928-537-8777207XX0005X1477750636
OTHER EIN : 471045429
Reisner, Lorna Rae NP218 W White Mountain Blvd  Suite D    Lakeside  AZ 85929-7013928-367-9995163W00000X1043249220
Riepel, Brent Sr. RPH20 E White Mountain Blvd      Lakeside  AZ 85929-6807928-367-5442183500000X1609108786
Ries, Dr. Kenly Leonard D.C.100 W White Mountain Blvd  Suite C    Lakeside  AZ 85929-6878928-367-4640111N00000X1235450917
Ries, Dr. Paul Leonard D.C.100 W. White Mountain Blvd.      Lakeside  AZ 85929928-367-4640111NR0400X1568523868
Rivera, Mirza MD5658 Highway 260  Suite 19    Lakeside  AZ 85929-5189928-532-5838207R00000X1235119454
MEDICAID AZ : 391425
Robertson, Charles Paul M.D.5658 Highway 260  Suite 24    Lakeside  AZ 85929-5189928-537-4379207Q00000X1396716189
MEDICAID AZ : 203406
Russell, Antoinette 2922 W White Mountain Blvd      Lakeside  AZ 85929-6152928-368-6112146L00000X1457743916
Sassmann, Michael J PA-C300 W White Mountain Blvd  Suitea    Lakeside  AZ 85929-7014928-367-1077363AM0700X1295049914


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