| NPI | 1104167154 |
|---|---|
| Former Legal Business Name | LAKEVIEW FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JASON TODD FRYE Owner/Physician 480-284-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3495) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |