Lakeview Memorial Hospital Association Inc.
NPI #1821114729 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1821114729
- Entity Type
- Organization
- Organization Name
- Lakeview Memorial Hospital Association Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LAKEVIEW MEMORIAL HOSPITAL
- Primary Specialty
- Nurse Practitioner - Neonatal
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jan 21, 2019
Practice Location
- Address
- 927 CHURCHILL ST W
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6605
- Phone
- (651) 430-4529
Authorized Official
- Name
- DOUGLAS EDWARD JOHNSON
- Title
- CFO
- Phone
- (651) 430-4581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
| Nurse Practitioner - Neonatal — Neonatal |
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