Lakeport Neurology Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G87388 Issued in CA

Legal business name

LAKEPORT NEUROLOGY INC

Practice address

5124 Hill Rd E
Lakeport, CA 95453-6300

Phone

(707) 263-4441

Fax

(707) 263-4449

NPI assigned

Aug 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Camille Yvonne Keene, MDNPI 1780896951

Title

Owner / President

Phone

(707) 263-4441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Yvonne Keene, M.D.

  • Neurology Physician
  • Lakeport, CA
  • NPI 1780896951
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1821288101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-263-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-263-4441",
            "fax_number": "707-263-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEPORT NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "707-263-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G87388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Dermatology Medical Assoc Inc
• Lake Family Resource Center
• Lakeport County Fire Protection District
• Lakeport Emergency Medical Corporation
• Lakeport Medical Group
• Lakeport Physical Therapy, Inc.
• Lakeport Post Acute, LLC
• Lakeport Skilled Nursing Center, Inc.
• Lakeport Unified School District
• Eva Lambert, RN/ CASE MANAGER

• Neurology Physician in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.