Lakeport Medical Group
NPI #1780714584 in Lakeport, California
Provider Information
- NPI Number
- 1780714584
- Entity Type
- Organization
- Organization Name
- Lakeport Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Oct 15, 2008
Practice Location
- Address
- 166 D ST
- City
- Lakeport
- State
- California
- ZIP Code
- 95453-5301
- Phone
- (707) 263-1555
Authorized Official
- Name
- LINDA SUZANNE HOLBROOK
- Title
- OFFICE MANAGER
- Phone
- (707) 263-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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