Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeview Memorial Hospital Association Inc

Organization Emergency Medicine Physician · NPI 1821114729

Lakeview Memorial Hospital Association Inc is an Emergency Medicine Physician in Stillwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

927 Churchill St W
Stillwater, MN 55082-6605
Phone: (651) 430-4529
Fax: (651) 430-4528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 365380 (MN)
Emergency Medicine Physician Taxonomy 207P00000X
Hematology & Oncology Physician Taxonomy 207RH0003X

Record details

NPI number1821114729
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLakeview Memorial Hospital
Authorized official Brandi Lunneborg — President · (651) 430-5207
Other names Lakeview Hospital Physicians; Lakeview Hospital Physicians
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing addressPo Box 310, Stillwater, MN 55082-1029

Other providers in Stillwater