Organization
LAGS SPINE & SPORTSCARE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS P. LAGATTUTA M.D. (MD PRESIDENT)
(805) 928-7361
Entity
Organization
Contact information
Practice address
7375 EL CAMINO REAL, SUITE B, ATASCADERO, CA 93422-4697
(805) 466-5247
(805) 466-5246
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
—
106049804
USDL
—
01
—
7263464
AETNA PIN
CA
05
—
GR0098093
—
CA
01
—
ZZZ133232
BS PIN/ATASCADERO
CA
01
—
ZZZ52753Y
BS PIN-SLO
CA
Enumeration date
10/20/2006
Last updated
01/18/2010
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