| Lakeview Neurosurgery Clinic, Llc | |
|
620 Medical Dr Suite 300 Bountiful UT 84010-5084 | |
| (801) 299-3871 | |
| Not Available |
| Full Name | Lakeview Neurosurgery Clinic, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 620 Medical Dr, Bountiful, Utah |
| Authorized Official Name and Position | Jeff Rydburg (VP) |
| Authorized Official Contact | 8012993871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Neurosurgery Clinic, Llc 620 Medical Dr Suite 300 Bountiful UT 84010-5084 Ph: (801) 299-3871 | Lakeview Neurosurgery Clinic, Llc 620 Medical Dr Suite 300 Bountiful UT 84010-5084 Ph: (801) 299-3871 |
| NPI Number | 1831202118 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831202118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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