Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKEPORT MEDICAL GROUP
Active
Organization
LAKEPORT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SUZANNE HOLBROOK (OFFICE MANAGER)
(707) 263-1555
Entity
Organization
Contact information
Practice address
166 D ST, LAKEPORT, CA 95453-5301
(707) 263-1555
(707) 262-5810
Mailing address
166 D ST, LAKEPORT, CA 95453-5301
(707) 263-1555
(707) 262-5810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AM567
PTAN
CA
Enumeration date
03/07/2007
Last updated
10/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers