Organization
LCA VANTAGE HEALTHCARE CORPORATION
Active
Other names
LCA Vantage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT JOSEPH LOPEZ (FOUNDER & CEO)
(202) 631-9504
Entity
Organization
Contact information
Practice address
100 M ST SE STE 600, WASHINGTON, DC 20003-3648
(202) 631-9504
Mailing address
100 M ST SE STE 600, WASHINGTON, DC 20003-3648
(202) 631-9504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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