Lake County Medical Clinic, P.c.

NPI #1922085604 in Lakeview, Oregon

Provider Information

NPI Number: 1922085604
Entity Type: Organization
Organization Name: Lake County Medical Clinic, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Dec 23, 2005
Last Updated: Jul 2, 2010

Practice Location

Address: 624 S J ST
City: Lakeview
State: Oregon
ZIP Code: 97630-1680
Phone: (541) 947-3366

Authorized Official

Name: MRS. SHEENA M FELDER
Title: OFFICE MANAGER
Phone: (541) 947-3366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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