Organization · NPI-2

Lion Clinical Services LLC

Clinic/Center · Bullhead City, AZ

NPI number1548017445
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1548017445
Entity type
Organization (NPI-2)
Legal business name
Lion Clinical Services LLC
Organization subpart
No
Enumeration date
Apr 30, 2024
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2872 Esmerelda Dr
Bullhead City, AZ 86429-1124

Phone 805-612-7127

Mailing address

2872 Esmerelda Dr
Bullhead City, AZ 86429-1124

Phone 805-612-7127

Authorized official

Joseph Crouch
Ceo
8056127127

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