Provider Demographics
NPI:1235455221
Name:LVH PA
Entity Type:Organization
Organization Name:LVH PA
Other - Org Name:LAKELAND VETERINARY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DVM/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:EBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:218-829-1709
Mailing Address - Street 1:7372 WOIDA RD
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8564
Mailing Address - Country:US
Mailing Address - Phone:218-829-1709
Mailing Address - Fax:218-829-8187
Practice Address - Street 1:7372 WOIDA RD
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8564
Practice Address - Country:US
Practice Address - Phone:218-829-1709
Practice Address - Fax:218-829-8187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty