Organization Name: | LVH PA |
NPI Number: | 1235455221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH ELIZABETH EBERTS (DVM/OWNER) |
Mailing Address: | 7372 Woida Rd Baxter |
State: | MN US |
Postal Code: | 564258564 |
Phone Number: | 2188291709 |
Fax Number: | 2188298187 |
NPI Enumeration Date: | 04/15/2010 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |