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Organization
LAKE DISTRICT HOSPITAL PHYSICIANS GROUP
Active
Organization
LAKE DISTRICT HOSPITAL PHYSICIANS GROUP
Active
Other names
Lake Health District
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LANDAU (CHIEF FINANCIAL OFFICER)
(541) 947-7285
Entity
Organization
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-4507
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-4507
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140896
OR
Other
Enumeration date
01/04/2012
Last updated
06/15/2012
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