County Of Lake

Specialty details in registry · Lakeport, CA

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At a glance

525 N Main St, Lakeport, CA 95453-4811

NPPES record updated Aug 26, 2024. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

525 N Main St
Lakeport, CA 95453-4811
Professional details: NPI, taxonomy & registry record
NPI1356181234
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
May 29, 2024
Record updated
Aug 26, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

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

Practice location

525 N Main St
Lakeport, CA 95453-4811
Phone
(707) 263-4880
Mailing address
PO BOX 1024

LUCERNE, CA 954581024
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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