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Organization

LAKEVIEW FAMILY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN E LEER D.O. (OWNER)
(317) 984-8811
Entity
Organization

Contact information

Practice address
204W MAIN ST, ARCADIA, IN 46030
(317) 984-8811
(317) 984-5862
Mailing address
PO BOX 383, ARCADIA, IN 46030-0383
(317) 984-8811
(317) 984-5862

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001252
IN

Other

Enumeration date
12/07/2009
Last updated
12/07/2009
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