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

Lakeview Neurosurgery Clinic, LLC

Organization Neurological Surgery Physician · NPI 1619919396

Lakeview Neurosurgery Clinic, LLC provides Neurological Surgery Physician services in Bountiful, Utah. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 Medical Dr Ste 300
Bountiful, UT 84010-4908 Not confirmed with CMS for 18 years — call before visiting
Phone: (801) 299-3871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1619919396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Rydburg — Vp · (801) 299-3871
NPI enumeratedJune 10, 2006
Last updated in NPPESAugust 27, 2008
Mailing address620 Medical Dr, Suite 300, Bountiful, UT 84010-4908

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