Provider Demographics
NPI:1699588525
Name:LAKEVIEW SLEEP SOLUTIONS LLC
Entity type:Organization
Organization Name:LAKEVIEW SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-645-2333
Mailing Address - Street 1:130 CEDAR KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:RONCEVERTE
Mailing Address - State:WV
Mailing Address - Zip Code:24970-8382
Mailing Address - Country:US
Mailing Address - Phone:304-645-2333
Mailing Address - Fax:
Practice Address - Street 1:130 CEDAR KNOLL DR
Practice Address - Street 2:
Practice Address - City:RONCEVERTE
Practice Address - State:WV
Practice Address - Zip Code:24970-8382
Practice Address - Country:US
Practice Address - Phone:304-645-2333
Practice Address - Fax:304-647-5932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty