Organization
LUCENT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGE C LAZATIN JR. DC (CHIROPRACTOR)
(310) 592-7095
Entity
Organization
Contact information
Practice address
11633 SAN VICENTE BLVD, SUITE 214, LOS ANGELES, CA 90049-6511
(310) 592-7095
(310) 826-9894
Mailing address
11633 SAN VICENTE BLVD, SUITE 214, LOS ANGELES, CA 90049-6511
(310) 592-7095
(310) 826-9894
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DC30358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124212303
NPI FOR CHIROPRACTIC
CA
01
—
DC0303580
BLUE SHIELD
CA
Enumeration date
11/17/2008
Last updated
11/17/2008
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