Lake Ridge Neurological

LBN: Lake Ridge Neurological
Lake Ridge Neurological is an health care organization with primary practice located at Suite B 103 Omni Drive , Seneca SC 29672-9448. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Lake Ridge Neurological can be contacted via phone (864) 885-9866, or through Ricalde, Orlando Arthur via phone (864) 885-9866.

Contact Information

Primary practice address
Suite B 103 Omni Drive Seneca SC 29672-9448
Phone: (864) 885-9866
Fax: (864) 888-8307
Website:
Map and Directions
Authorized official contact:
Name: Ricalde, Orlando Arthur Doctor of Medicine (MD)
Phone: (864) 885-9866

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1063486363
LBN Legal business name Lake Ridge Neurological
DBA Doing business as
Authorized official Ricalde, Orlando Arthur Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 10th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063486363 NPPES
South Carolina MEDICAID GP1724

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