Organization
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE KLEIN (CFO)
(715) 236-6129
Entity
Organization
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
Mailing address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 234-1515
(715) 234-4465
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1562800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11006900
—
WI
Enumeration date
03/02/2007
Last updated
03/14/2008
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