Organization
COUNTY OF LAKE PUBLIC HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG M MCMILLAN M.D. (HEALTH OFFICER)
(707) 263-1090
Entity
Organization
Contact information
Practice address
7000 B SOUTH CIVIC CENTER DR, CLEARLAKE, CA 95422
(707) 994-9433
(707) 994-6739
Mailing address
922 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-1090
(707) 262-4280
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70121F
—
CA
Enumeration date
12/15/2006
Last updated
08/26/2024
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