| Lakeport Neurology Inc | |
|
5124 Hill Rd E Lakeport CA 95453-6300 | |
| (707) 263-4441 | |
| (707) 263-4449 |
| Full Name | Lakeport Neurology Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5124 Hill Rd E, Lakeport, California |
| Authorized Official Name and Position | Camille Yvonne Keene (OWNER / PRESIDENT) |
| Authorized Official Contact | 7072634441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeport Neurology Inc 5124 Hill Rd E Lakeport CA 95453-6300 Ph: (707) 263-4441 | Lakeport Neurology Inc 5124 Hill Rd E Lakeport CA 95453-6300 Ph: (707) 263-4441 |
| NPI Number | 1821288101 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821288101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G87388 (California) | Primary |
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