Organization
LGC BILLING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH A CLAVERIA (PRESIDENT)
(386) 259-4011
Entity
Organization
Contact information
Practice address
2294 HOLSTON ST, DELTONA, FL 32738-7839
(386) 259-4011
(386) 259-4808
Mailing address
2294 HOLSTON ST, DELTONA, FL 32738-7839
(386) 259-4011
(386) 259-4808
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
10131
FL
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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