OrganizationActive
Lakeview Memorial Hospital Association Inc.
NPI 1821114729 · Neonatal Nurse Practitioner · Stillwater, MN
Provider details
- NPI number
- 1821114729
- Entity type
- Organization
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Lakeview Memorial Hospital
- Authorized official
- Douglas Johnson, Cfo
Practice location
927 Churchill St W
Stillwater, MN 55082-6605
Phone: (651) 430-4529
Fax: (651) 430-4528
Mailing address
Po Box 310
Stillwater, MN 55082-0310
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2019-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.