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Organization

ELITE SPINAL & SPORTS CARE, INC.

Active
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Organization

ELITE SPINAL & SPORTS CARE, INC.

Active
Other names
Justin C. Lau, DC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN C LAU D.C., CCSP, CSCS (CEO)
(916) 488-4849
Entity
Organization

Contact information

Practice address
2045 HALLMARK DR STE 1, SACRAMENTO, CA 95825-2224
(916) 488-4849
(916) 929-3299
Mailing address
2045 HALLMARK DR STE 1, SACRAMENTO, CA 95825-2224
(916) 488-4849
(916) 929-3299

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
29281
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821074873
INDIVIDUAL NPI
CA
Enumeration date
03/27/2007
Last updated
08/22/2020
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