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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