Provider Demographics
NPI:1598075012
Name:LAKEVIEW MEMORIAL HOSPITAL ASSN, INC.
Entity Type:Organization
Organization Name:LAKEVIEW MEMORIAL HOSPITAL ASSN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLESETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-653-2565
Mailing Address - Street 1:6501 CITY WEST PKWY
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344
Mailing Address - Country:US
Mailing Address - Phone:952-653-2565
Mailing Address - Fax:
Practice Address - Street 1:927 WEST CHURCHILL ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082
Practice Address - Country:US
Practice Address - Phone:651-430-4561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAKEVIEW MEMORIAL HOSPITAL ASSN, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site