COUNTY OF LAKE PUBLIC HEALTH DEPARTMENT NPI 1396807459

NPI Information

COUNTY OF LAKE PUBLIC HEALTH DEPARTMENT is a public health or welfare in Clearlake, CA. COUNTY OF LAKE PUBLIC HEALTH DEPARTMENT NPI is 1396807459. The provider is registered as an organization entity type.

The provider's business location address is:

7000 B SOUTH CIVIC CENTER DR
CLEARLAKE, CA
ZIP 95422
Phone: (707) 994-9433
Fax: (707) 994-6739

The provider's authorized official is Craig M Mcmillan .
The authorized official title is Health Officer and has the following contact phone number (707) 263-1090.

The CLIA number assigned to this NPI record is 05D0708725 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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