| Organization Name: | LAKE COUNTY ANESTHESIA PC |
| NPI Number: | 1194068635 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK JOHNSON (PRESDIENT) |
| Mailing Address: | 5176 Hill Rd E Lakeport |
| State: | CA US |
| Postal Code: | 954536300 |
| Phone Number: | 7072625000 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2013 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |