DR. KRAIVIT ANGSUPANICH, M.D.

Surgery

Active Individual
NPI: 1275630196

Practice Address

801 11TH ST
SUITE 1
Lakeport, CA 95453

Phone: (707) 262-5568

Specialties

Specialty Code Primary License
Surgery 208600000X Yes A34208 (CA)

Frequently Asked Questions

NPI 1275630196 is the National Provider Identifier for DR. KRAIVIT ANGSUPANICH, M.D., a Surgery provider located in Lakeport, CA. This NPI was enumerated on September 20, 2006.
DR. KRAIVIT ANGSUPANICH, M.D. practices at 801 11TH ST, SUITE 1, Lakeport, CA 95453.

Quick Facts

NPI
1275630196
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Sep 17, 2008

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