| NPI | 1821114729 |
|---|---|
| Other Name | LAKEVIEW HOSPITAL PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD JOHNSON CFO 651-430-4581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 365380) |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-01-21 |