| County Of Lake Bevins | |
|
958 Bevins Ct Lakeport CA 95453-8749 | |
| (707) 274-9101 | |
| Not Available |
| Full Name | County Of Lake Bevins |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 958 Bevins Ct, Lakeport, California |
| Authorized Official Name and Position | Lisa Warner (CONSULTANT) |
| Authorized Official Contact | 7072749101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Lake Bevins Po Box 1024 Lucerne CA 95458-1024 Ph: () - | County Of Lake Bevins 958 Bevins Ct Lakeport CA 95453-8749 Ph: (707) 274-9101 |
| NPI Number | 1508598988 |
|---|---|
| Provider Enumeration Date | 06/25/2022 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508598988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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