Organization
LAKEVIEW IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN POWELL (OWNER)
(909) 366-0779
Entity
Organization
Contact information
Practice address
39546 CLINE MILLER PL, FAWNSKIN, CA 92333
(909) 366-0779
Mailing address
PO BOX 346, FAWNSKIN, CA 92333-0346
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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