Northlake Internal Medicine

NPI 1447469457 - Internal Medicine - 207R00000X

NPI Details
NPI 1447469457
Enumeration Date 05/22/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN JOHN
Position OWNER
Phone (707) 263-7082
Fax (707) 263-0816
Practice Location
5150 HILL RD E
SUITE B
LAKEPORT CA, 95453-5100, US
Phone (707) 263-7082
Fax (707) 263-0816
Business Location
5150 HILL RD E
SUITE B
LAKEPORT CA, 95453-5100, US
Phone (707) 263-7082
Fax (707) 263-0816
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number ZZZ18509Z
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According to our database, Northlake Internal Medicine NPI is 1447469457, taxonomy code is 207R00000X and license number is ZZZ18509Z, license state is located at California. Northlake Internal Medicine physically located at 5150 Hill Rd E, Lakeport CA, 95453-5100. NPI Number 1033115704 has the healthcare provider type.

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1447469457 NPI number is provided on an as is basis without warranty of any kind. 1447469457 is maintained by the National Plan & Provider Enumeration System. The contents of Northlake Internal Medicine are for informational purposes only.