Organization
LCMB ENTERPRISES, LLC
Active
Organization
LCMB ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KAPPICO (ADMINISTRATOR)
(805) 312-7552
Entity
Organization
Contact information
Practice address
4607 LAKEVIEW CANYON RD STE 569, WESTLAKE VILLAGE, CA 91361-4028
(805) 312-7552
Mailing address
4607 LAKEVIEW CANYON RD STE 569, WESTLAKE VILLAGE, CA 91361-4028
(805) 312-7552
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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