Lags Spine And Sportscare Medical Centers, INC.
Physical Medicine & Rehabilitation, Pain Medicine in Grover Beach, CA. Organization (NPI-2).
NPI number1891256293
StatusActive
Last updated in NPPESMar 28, 2019
Details
- NPI
- 1891256293
- Entity type
- Organization (NPI-2)
- Legal business name
- Lags Spine And Sportscare Medical Centers, INC.
- Organization subpart
- No
- Enumeration date
- Mar 28, 2019
- Last updated
- Mar 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | Yes |
Other names
- Lags Medical Center (Doing Business As)
Practice location
200 S 13th StGrover Beach, CA 93433-3302
Phone 805-736-7886
Mailing address
218 N I StLompoc, CA 93436-0909
Phone 805-736-7886
Authorized official
Hallie Medina
Contracting Assistant
6614321451
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