# LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKEVIEW MEMORIAL HOSPITAL
- **Other names:** Lakeview Hospital Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821114729
- **Legal business name:** LAKEVIEW MEMORIAL HOSPITAL
- **Authorized official:** BRANDI LUNNEBORG (PRESIDENT)
- **Authorized official phone:** (651) 430-5207

## Contact information

- **Practice address:** 927 CHURCHILL ST W, STILLWATER, MN 55082-6605
- **Practice address phone:** (651) 430-4529
- **Practice address fax:** (651) 430-4528
- **Mailing address:** PO BOX 310, STILLWATER, MN 55082-1029
- **Mailing address phone:** (651) 430-4529
- **Mailing address fax:** (651) 430-4528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 363LN0000X | Neonatal Nurse Practitioner | 365380 | MN | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110674 | HEALTHPARTNERS | MN |
| 01 | — | 300064 | UCARE | MN |
| 05 | — | 32889100 | — | WI |
| 01 | — | 3946489 | MEDICA CHOICE | MN |
| 01 | — | 56697TE | BLUE CROSS MN | MN |
| 01 | — | 65247 | PREFERRED ONE | MN |
| 05 | — | 834547300 | — | MN |
| 01 | — | C63317 | MEDICARE RAILROAD | MN |
