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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
FRANCIS PETER LAGATTUTA M.D. (OWNER/MEDICAL DIRECTOR)
(805) 928-7361
Entity
Organization
Contact information
Practice address
169 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 477-8645
(503) 208-2826
Mailing address
218 N I ST, LOMPOC, CA 93436-0909
(805) 928-7361
(805) 928-5742
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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