Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Neurology LLC

Organization Specialist · NPI 1609055276

Lakeside Neurology LLC provides Specialist services in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2180 McCulloch Blvd N
Lake Havasu City, AZ 86403-6879 Not confirmed with CMS for 18 years — call before visiting
Phone: (928) 680-8282
Fax: (928) 680-8288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 28212 (AZ)

Record details

NPI number1609055276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tin Win — Owner · (928) 680-8282
Other names Tin T. Win, M.D.
NPI enumeratedOctober 30, 2007
Last updated in NPPESOctober 30, 2007
Mailing addressPo Box 1440, Lake Havasu City, AZ 86405-1440

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