Lake View Memorial Hospital, INC

NPI #1992512701 in Two Harbors, Minnesota

Provider Information

NPI Number
1992512701
Entity Type
Organization
Organization Name
Lake View Memorial Hospital, INC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 16, 2024
Last Updated
Dec 16, 2024

Practice Location

Address
325 11TH AVE
ZIP Code
55616-1300
Phone
(218) 834-7300

Authorized Official

Name
GREG GARRETT RUBERG
Title
AUTHORIZED OFFICIAL
Phone
(218) 834-7345

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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