Lakeview Internal Medicine And Surgery
LBN: Lakeview Internal Medicine, Llc
Lakeview Internal Medicine And Surgery is an health care organization with primary practice located at 444 W Bourne Cir Ste 101 , Farmington UT 84025-3657. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Lakeview Internal Medicine, Llc can be contacted via phone (801) 294-9333, or through Johnson, William Tedrick via phone (615) 372-3375.
Contact Information
Primary practice address
444 W Bourne Cir Ste 101
Farmington UT 84025-3657
Phone: (801) 294-9333
Fax: (801) 294-7558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1518293323 |
|---|---|
| LBN Legal business name | Lakeview Internal Medicine, Llc |
| DBA Doing business as | Lakeview Internal Medicine And Surgery |
| Authorized official | Johnson, William Tedrick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2009 |
| Last updated | Aug 29th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518293323 | NPPES |
| Utah | MEDICAID | 1518293323 |
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