Healthcare Provider Details

I. General information

NPI: 1366522831
Provider Name (Legal Business Name): TERRI L TURNER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 BEVINS COURT
LAKEPORT CA
95453-9754
US

IV. Provider business mailing address

925 BEVINS COURT
LAKEPORT CA
95453-9754
US

V. Phone/Fax

Practice location:
  • Phone: 707-263-8383
  • Fax: 707-263-5019
Mailing address:
  • Phone: 707-263-8383
  • Fax: 707-263-5019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDO184966
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number010A64791
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: