Lakeview Memorial Hospital Association Inc.
NPI 1821114729ActiveOrganization· Nurse Practitioner, Neonatal· Stillwater, MN
Nurse Practitioner, Neonatal in Stillwater, Minnesota, registered in NPPES in March 2007, part of Lakeview Memorial Hospital. The authorized official on file is Brandi Lunneborg, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821114729 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lakeview Memorial Hospital |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Aug 3, 2026 |
| Certified by provider | Aug 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Neonatal Primary | 363LN0000X | 365380 | MN |
| Emergency Medicine | 207P00000X | — | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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