Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1972508968
Practice Locations (1)
LAKESIDE HEART AND VASCULAR CENTER PLLC
2082 MESQUITE AVE, SUITE 100A
LAKE HAVASU CITY, AZ 864036710
9284532727
Source: CMS National Downloadable File, September 2026.