Provider Demographics
NPI:1578455853
Name:LIFEVIEW MEDICAL LLC
Entity type:Organization
Organization Name:LIFEVIEW MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EBONI
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:ALGEE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:314-503-0605
Mailing Address - Street 1:2102 OVERVIEW DR NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-4278
Mailing Address - Country:US
Mailing Address - Phone:314-503-0605
Mailing Address - Fax:
Practice Address - Street 1:2102 OVERVIEW DR NE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98422-4278
Practice Address - Country:US
Practice Address - Phone:314-503-0605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty