| Lake Family Resource Center | |
|
896 Lakeport Blvd Lakeport CA 95453-5421 | |
| (707) 262-1611 | |
| (707) 262-0344 |
| Full Name | Lake Family Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 896 Lakeport Blvd, Lakeport, California |
| Authorized Official Name and Position | Gloria Lynn Flaherty (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7072621611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Family Resource Center 896 Lakeport Blvd Lakeport CA 95453-5421 Ph: (707) 262-1611 | Lake Family Resource Center 896 Lakeport Blvd Lakeport CA 95453-5421 Ph: (707) 262-1611 |
| NPI Number | 1285893511 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285893511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1748 (California) | Primary |
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