Organization
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAMATO (CONTRACT MANAGER)
(805) 264-3388
Entity
Organization
Contact information
Practice address
3550 Q ST STE 105, BAKERSFIELD, CA 93301-1645
(661) 432-1451
Mailing address
218 N I ST, LOMPOC, CA 93436-0909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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