Individual
DR. DIANE JOAN PEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5117
(707) 262-5094
Mailing address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5117
(707) 262-5094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G81737
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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