Lassen Medical Group INC
NPI #1689713505 in Cottonwood, California
Provider Information
- NPI Number
- 1689713505
- Entity Type
- Organization
- Organization Name
- Lassen Medical Group INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Dec 14, 2012
Practice Location
- Address
- 20833 LONG BRANCH DR
- City
- Cottonwood
- State
- California
- ZIP Code
- 96022-8701
- Phone
- (530) 347-3418
Authorized Official
- Name
- KIM HAKE
- Title
- MANAGER
- Phone
- (530) 528-4419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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