Lakeview Professional Billing, Llc | |
630 Medical Dr Bountiful UT 84010-4908 | |
(801) 299-2200 | |
(801) 299-2392 |
Full Name | Lakeview Professional Billing, Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 630 Medical Dr, Bountiful, Utah |
Authorized Official Name and Position | Wayne J Dalton (CFO) |
Authorized Official Contact | 8012992501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeview Professional Billing, Llc 630 Medical Dr Bountiful UT 84010-4908 Ph: (801) 299-2200 | Lakeview Professional Billing, Llc 630 Medical Dr Bountiful UT 84010-4908 Ph: (801) 299-2200 |
NPI Number | 1417120650 |
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Provider Enumeration Date | 04/09/2008 |
Last Update Date | 04/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417120650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2007-HOSP-189 (Utah) | Primary |
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