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
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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