OrganizationActive
Lakeview Neurosurgery Clinic, LLC
NPI 1619919396 · Neurological Surgery Physician · Bountiful, UT
Provider details
- NPI number
- 1619919396
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Rydburg, Vp(801) 299-3871
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
620 Medical Dr
Suite 300
Bountiful, UT 84010-4908
Phone: (801) 299-3871
Approximate (ZIP-level) locationGet directions
Mailing address
620 Medical Dr
Bountiful, UT 84010-4908
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2008-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.