| NPI | 1053408450 |
|---|---|
| Doing Business As | LAKEVIEW FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH L CRUMP CEO 801-434-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 942752821205) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-05-21 |