Lassen Medical Group Inc

NPI 1003955758 - Internal Medicine - 207R00000X

NPI Details
NPI 1003955758
Enumeration Date 02/06/2007
Last Updated 06/28/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AGNES AGNES
Position CONTROLLER
Phone (530) 527-0141
Fax (530) 527-3720
Practice Location
2450 SISTER MARY COLUMBA DR
RED BLUFF CA, 96080-4356, US
Phone (530) 527-0141
Fax (530) 527-3720
Business Location
2450 SISTER MARY COLUMBA DR
RED BLUFF CA, 96080-4356, US
Phone (530) 527-0141
Fax (530) 527-3720
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Lassen Medical Group Inc NPI is 1003955758, taxonomy code is 207R00000X Lassen Medical Group Inc physically located at 2450 Sister Mary Columba Dr, Red Bluff CA, 96080-4356. NPI Number 1033115704 has the healthcare provider type.

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1003955758 NPI number is provided on an as is basis without warranty of any kind. 1003955758 is maintained by the National Plan & Provider Enumeration System. The contents of Lassen Medical Group Inc are for informational purposes only.