Organization
LAKEVIEW HOSPITAL PHYSICIAN SERVICES LLC
Active
Other names
Lakeview OBGYN Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VP)
(615) 373-7630
Entity
Organization
Contact information
Practice address
620 MEDICAL DR, SUITE 340, BOUNTIFUL, UT 84010-5084
(801) 299-2229
(801) 299-2230
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7406
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932112448
—
UT
Enumeration date
08/14/2006
Last updated
08/29/2023
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