Organization Name: | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE |
NPI Number: | 1215194907 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE KLEIN (CFO) |
Mailing Address: | 1100 N Main St Rice Lake |
State: | WI US |
Postal Code: | 548681238 |
Phone Number: | 7152341515 |
Fax Number: | 7152344465 |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 11/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1562800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |