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Organization
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Active
Organization
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SHOWERS (MEDICAL BILLING SPECIALIST LEAD)
(805) 928-7361
Entity
Organization
Contact information
Practice address
4505 PRECISSI LN STE A, STOCKTON, CA 95207-6240
(209) 425-3815
Mailing address
218 NORTH I STREET, LOMPOC, CA 93436
(209) 425-3815
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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