LAKEVIEW CLINIC LTD. NPI 1669599981

NPI Information

NPI: 1669599981
Provider Name: LAKEVIEW CLINIC, LTD.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 24D0400859

Address:
424 W STATE HIGHWAY 5
WACONIA, MN
ZIP 55387
Phone: (952) 442-4461
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LAKEVIEW CLINIC, LTD. is a multi-specialty clinic center in Waconia, MN. LAKEVIEW CLINIC, LTD. NPI is 1669599981. The provider is registered as an organization entity type.

The provider's business location address is:

424 W STATE HIGHWAY 5
WACONIA, MN
ZIP 55387-723
Phone: (952) 442-4461
Fax: (952) 442-1547

The provider's authorized official is Robert W. Wilcox .
The authorized official title is Administrator and has the following contact phone number (952) 442-4461.

The CLIA number assigned to this NPI record is 24D0400859 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 1/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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