| Lakeview Community Hospital Authority | |
|
505 Hazen St Suite 104 Paw Paw MI 49079-1070 | |
| (269) 657-1595 | |
| (269) 657-1534 |
| Full Name | Lakeview Community Hospital Authority |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 505 Hazen St, Paw Paw, Michigan |
| Authorized Official Name and Position | Mary M Meitz (VP OF FINANCE) |
| Authorized Official Contact | 2693417654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Community Hospital Authority 505 Hazen St Suite 104 Paw Paw MI 49079-1070 Ph: (269) 657-1595 | Lakeview Community Hospital Authority 505 Hazen St Suite 104 Paw Paw MI 49079-1070 Ph: (269) 657-1595 |
| NPI Number | 1174747992 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174747992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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