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NPI Code Detail

MEDICARE: LAKEVIEW ANESTHESIA LLC

MEDICARE: LAKEVIEW ANESTHESIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417399429
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEVIEW ANESTHESIA LLC
Provider Business Mailing Address
First Line : PO BOX 1590
Second Line :
City : LUTZ
State : FL
Zip : 33548-1590
Country : US
Telephone Number : 813-394-3780
Fax Number :
Provider Business Practice Location Address
First Line : 900 GRIFFIN RD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2442
Country : US
Telephone Number : 813-394-3780
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CARLA GALANG
Credential : MD
Telephone Number : 908-653-9399
Provider Enumeration Date : 07/19/2013
Last Update Date : 04/16/2026

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Directions to “LAKEVIEW ANESTHESIA LLC ” Practice Location

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