Organization
LAKEVIEW CARDIOLOGY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REBOK (GROUP VICE PRESIDENT/AO)
(615) 372-5004
Entity
Organization
Contact information
Practice address
101 JUDGE TANNER BLVD, SUITE 106, COVINGTON, LA 70433-7503
(985) 892-8959
(985) 892-8975
Mailing address
PO BOX 742845, ATLANTA, GA 30374-2845
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
06/09/2022
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