| Lakeview Family Medicine | |
|
811 N 900 W Orem UT 84057-7701 | |
| (801) 434-7600 | |
| (801) 434-7604 |
| Full Name | Lakeview Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 811 N 900 W, Orem, Utah |
| Authorized Official Name and Position | Kenneth L Crump (CEO) |
| Authorized Official Contact | 8014347600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Family Medicine 811 N. 900 W. Orem UT 84057 Ph: (801) 434-7600 | Lakeview Family Medicine 811 N 900 W Orem UT 84057-7701 Ph: (801) 434-7600 |
| NPI Number | 1053408450 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/21/2021 |
| Medicare PECOS PAC ID | 0840184388 |
|---|---|
| Medicare Enrollment ID | O20040213000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053408450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 942752821205 (Utah) | Primary |
| Provider Name | Kenneth Lyle Crump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719308 PECOS PAC ID: 6002710878 Enrollment ID: I20031126000183 |
| Provider Name | Janice H Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184800047 PECOS PAC ID: 2860565306 Enrollment ID: I20080717000076 |
| Provider Name | Lisa Bree Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710186986 PECOS PAC ID: 5395889836 Enrollment ID: I20100222000209 |
Preferred Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1345 W 1600 N, Orem, UT 84057 Phone: 801-317-8099 | |
Envision Holdco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 W 1600 N # 202, Orem, UT 84057 Phone: 801-225-7971 | |
Aspen Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 S 1680 W, Orem, UT 84058 Phone: 801-356-5555 | |
Wasatch Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 S State St, Orem, UT 84058 Phone: 801-225-5264 Fax: 801-229-2420 | |
Workcare Orem, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N 1200 W, Orem, UT 84057 Phone: 801-224-4211 Fax: 801-226-3482 | |
Jolley Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 S Palisades Dr, Orem, UT 84097 Phone: 323-803-8480 |