# LAKEVIEW HOSPITAL PHYSICIAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeview OBGYN Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932112448
- **Authorized official:** LOUIS JOSEPH (VP)
- **Authorized official phone:** (615) 373-7630

## Contact information

- **Practice address:** 620 MEDICAL DR, SUITE 340, BOUNTIFUL, UT 84010-5084
- **Practice address phone:** (801) 299-2229
- **Practice address fax:** (801) 299-2230
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
- **Mailing address phone:** (615) 373-7406
- **Mailing address fax:** (866) 346-1426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 08/29/2023