| Lakeview Professional Billing Llc | |
|
630 E Medical Dr Bountiful UT 84010 | |
| (801) 299-2165 | |
| (801) 299-7811 |
| Full Name | Lakeview Professional Billing Llc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 630 E Medical Dr, Bountiful, Utah |
| Authorized Official Name and Position | Shanae D Perez (BILLING SUPERVISOR) |
| Authorized Official Contact | 8012992165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Professional Billing Llc Po Box 639 Bountiful UT 84011-0639 Ph: (801) 299-2145 | Lakeview Professional Billing Llc 630 E Medical Dr Bountiful UT 84010 Ph: (801) 299-2165 |
| NPI Number | 1972674232 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972674232 | NPI | - | NPPES |
| 52856630402001 | Medicaid | UT | |
| 044424281001 | Medicaid | UT | |
| 528443301001 | Medicaid | UT | |
| 566476556001 | Medicaid | UT | |
| 528763507002 | Medicaid | UT |
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