Organization
LAKEVIEW PROFESSIONAL BILLING LLC
Active
Other names
Hospital Corporation of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANAE D PEREZ (BILLING SUPERVISOR)
(801) 299-2165
Entity
Organization
Contact information
Practice address
630 E MEDICAL DR, BOUNTIFUL, UT 84010
(801) 299-2165
(801) 299-7811
Mailing address
PO BOX 639, BOUNTIFUL, UT 84011-0639
(801) 299-2145
(801) 299-7811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1497971205
UT
207R00000X
Internal Medicine Physician
1551991205
UT
207R00000X
Internal Medicine Physician
1554671205
UT
207R00000X
Internal Medicine Physician
1622661205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
1686031205
UT
207RC0000X
Cardiovascular Disease Physician
27742911205
UT
207RP1001X
Pulmonary Disease Physician
1674321205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044424281001
—
UT
05
—
528443301001
—
UT
05
—
52856630402001
—
UT
05
—
528763507002
—
UT
05
—
566476556001
—
UT
Enumeration date
11/10/2006
Last updated
09/11/2025
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