Organization
LAKEVIEW ANESTHESIA
Active
Organization
LAKEVIEW ANESTHESIA
Active
Parent organization
LAKEVIEW MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEVIEW MEDICAL CENTER, INC
Authorized official
MS. CHRISTELLE S JOHNSON (CONTRACT ANALYST)
(757) 934-9454
Entity
Organization
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-9497
Mailing address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-9497
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45025
OPTIMA HEALTH CARE
VA
Enumeration date
12/03/2008
Last updated
12/03/2008
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