Organization
LAKEVIEW MEDICAL CENTER, LLC
Active
Other names
LAKEVIEW REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BRESLIN (CFO)
(985) 867-4446
Entity
Organization
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(985) 867-3800
(985) 867-4449
Mailing address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(985) 867-3800
(985) 867-4449
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03578096
—
MS
01
—
166327100
US DEPT LABOR
—
05
—
1766836
—
LA
01
—
275768
HEALTHLINK
—
01
—
60094
BCBS
LA
Enumeration date
05/31/2006
Last updated
04/17/2013
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