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NPI Code Detail

MEDICARE: LAKEVIEW MEDICAL, INC.

MEDICARE: LAKEVIEW MEDICAL, INC.
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
1207Q00000XFamily Medicine Physician34005996OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11992733497OTHEROHNPI IND.

General Provider Information

NPI Number : 1679745673
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEVIEW MEDICAL, INC.
Provider Business Mailing Address
First Line : 8200 STATE ROUTE 366
Second Line :
City : RUSSELLS POINT
State : OH
Zip : 43348-9670
Country : US
Telephone Number : 937-843-5000
Fax Number : 937-843-2801
Provider Business Practice Location Address
First Line : 8200 STATE ROUTE 366
Second Line :
City : RUSSELLS POINT
State : OH
Zip : 43348-9670
Country : US
Telephone Number : 937-843-5000
Fax Number : 937-843-2801
Authorized Official
Title or Position : CEO
Name : DR. ROBERT E DRESSLER
Credential : D.O.
Telephone Number : 937-843-5000
Provider Enumeration Date : 03/31/2008
Last Update Date : 03/07/2023

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Directions to “LAKEVIEW MEDICAL, INC. ” Practice Location

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