Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Ridge Neurological

Organization Neurology Physician · NPI 1063486363

Lake Ridge Neurological is a Neurology Physician in Seneca, South Carolina. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

Suite B 103 Omni Dr
Seneca, SC 29672-9448
Phone: (864) 885-9866
Fax: (864) 888-8307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1063486363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Orlando Ricalde — President · (864) 885-9866
NPI enumeratedFebruary 14, 2006
Last updated in NPPESOctober 10, 2007
Mailing addressSuite B 103 Omni Drive, Seneca, SC 29672-9448

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