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General NPI Number Information
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NPI Number | 1669599981
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Entity Type | Organization
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Legal Business Name | LAKEVIEW CLINIC, LTD.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 424 W STATE HIGHWAY 5
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City | WACONIA
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State | MN
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Zip | 55387-1723
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Country | US
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Telephone | 952-442-4461
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Fax | 952-442-1547
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Provider Business Mailing Address
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Address Line | 424 W STATE HIGHWAY 5
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City | WACONIA
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State | MN
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Zip | 55387-1723
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Country | US
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Telephone | 952-442-4461
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Fax | 952-442-1547
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Authorized Official
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Title or Position | CEO
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Name | MS. TRACY RHEINECK
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Credential |
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Telephone | 952-442-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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