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LAKE RIDGE NEUROLOGICAL
NPI 1063486363
Psychiatry & Neurology - Neurology in Seneca, SC

Active since February 14, 2006
SUITE B 103 OMNI DRIVE, SENECA, SC 29672(864) 885-9866(864) 888-8307 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Ridge Neurological NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE RIDGE NEUROLOGICAL (NPI 1063486363) is a healthcare organization registered as a neurology in Seneca, South Carolina and active in the NPI registry since February 2006. The organization lists Orlando Arthur Ricalde, President, as its authorized official.

NPPES Registry Identity

NPI1063486363
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLAKE RIDGE NEUROLOGICAL
Location AddressSUITE B 103 OMNI DRIVESeneca, SC 29672-9448
Mailing AddressSuite B 103 Omni DriveSeneca, SC 29672-9448 · (864) 885-9866 · Fax (864) 888-8307
Phone(864) 885-9866
Fax(864) 888-8307
Organization SubpartNo
Authorized OfficialOrlando Arthur RicaldePresident · (864) 885-9866
Enumeration DateFebruary 14, 2006
Last NPPES UpdateOctober 10, 2007
✔ NPI 1063486363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

SUITE B 103 OMNI DRIVE, Seneca, SC 29672
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Other Identifiers 2

Medicare ID-Type Unspecified6335SC
MedicaidGP1724SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Ridge Neurological's NPI number?

The NPI number for Lake Ridge Neurological is 1063486363. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is Lake Ridge Neurological located?

Lake Ridge Neurological is located at Suite B 103 Omni Drive, Seneca, SC 29672. The listed phone number is (864) 885-9866.

What is Lake Ridge Neurological's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Lake Ridge Neurological was last updated on October 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.