# LAKEVIEW FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811226640
- **Authorized official:** DR. GLEN E LEER D.O. (OWNER)
- **Authorized official phone:** (317) 984-8811

## Contact information

- **Practice address:** 204W MAIN ST, ARCADIA, IN 46030
- **Practice address phone:** (317) 984-8811
- **Practice address fax:** (317) 984-5862
- **Mailing address:** PO BOX 383, ARCADIA, IN 46030-0383
- **Mailing address phone:** (317) 984-8811
- **Mailing address fax:** (317) 984-5862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02001252 | IN | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 12/07/2009