Organization
LAKEVIEW HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN BORDAK MD (OWNER)
(262) 498-0432
Entity
Organization
Contact information
Practice address
800 GOOLD ST, RACINE, WI 53402-4567
(262) 456-2182
(262) 456-2457
Mailing address
800 GOOLD ST, RACINE, WI 53402-4567
(262) 456-2182
(262) 456-2457
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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