Lakeview Health Clinic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R27966 Issued in ND

Legal business name

LAKEVIEW HEALTH CLINIC

Practice address

2050 36TH Ave SW Ste 201
Minot, ND 58701-7595

Phone

(701) 852-8502

Fax

(949) 404-8851

NPI assigned

Jul 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janet Kay Fuchs

Title

Business Manager

Phone

(701) 852-8502

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1841777273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 36TH AVE SW STE 201",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017595",
            "telephone_number": "701-852-8502",
            "fax_number": "949-404-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 36TH AVE SW STE 201",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017595",
            "telephone_number": "701-852-8502",
            "fax_number": "949-404-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-28",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "701-852-8502"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R27966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19744",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Laboy, LPN
• Lacey Corneliusen, Licsw, LLC
• Lacey Corneliusen, Licsw, LLC
• Michelle Ladage, DPT
• Jennifer L. Ladendorf, M.S. SLP
• Dharamjeet Lall, MD
• Kayla R Lambrecht, PT, DPT
• Rym Lamrad, M.D.
• Andrea Landsiedel
• Patrick Benjamin Landsiedel, DDS

• Nurse Practitioner in Minot, ND
• Providers in Minot, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.