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
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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