Organization
LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC
Active
Other names
Lags Spine and Sports Care Medical Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS P LAGATTUTA MD (PRESIDENT)
(805) 928-7361
Entity
Organization
Contact information
Practice address
29 W MICHELTORENA ST, SANTA BARBARA, CA 93101-2509
(805) 884-4019
(805) 884-4075
Mailing address
135 CARMEN LN, SANTA MARIA, CA 93458-7729
(805) 928-7361
(805) 928-5742
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106049805
USDL
—
01
—
7263464
AETNA PIN
CA
05
—
GR0098091
—
CA
01
—
ZZZ09771Z
BLUE SHIELD OF CA
CA
Enumeration date
10/26/2006
Last updated
08/13/2012
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