Organization
LAKEPORT NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE YVONNE KEENE MD (OWNER / PRESIDENT)
(707) 263-4441
Entity
Organization
Contact information
Practice address
5124 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-4441
(707) 263-4449
Mailing address
5124 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-4441
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G87388
CA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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