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Organization

LAKE DISTRICT HOSPITAL PHYSICIANS GROUP

Active
Other names
Lake Health District
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH LANDAU (CHIEF FINANCIAL OFFICER)
(541) 947-7285
Entity
Organization

Contact information

Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-4507
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-4507

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140896
OR

Other

Enumeration date
01/04/2012
Last updated
06/15/2012
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