Lake County Office Of Education

Specialty details in registry · Upper Lake, CA

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At a glance

725 Old Lucerne Rd, Upper Lake, CA 95485-8755

NPPES record updated Mar 21, 2025. Public records can lag behind changes at a practice.

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Practice location

725 Old Lucerne Rd
Upper Lake, CA 95485-8755
Professional details: NPI, taxonomy & registry record
NPI1306647888
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251300000X
Enumeration date
Mar 21, 2025
Record updated
Mar 21, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

725 Old Lucerne Rd
Upper Lake, CA 95485-8755
Phone
(707) 275-0223
Mailing address
1152 S MAIN ST

LAKEPORT, CA 954535517
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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