Organization
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS P LAGATTUTA (MEDICAL DIRECTOR)
(805) 925-9581
Entity
Organization
Contact information
Practice address
390 LOMBARD ST, THOUSAND OAKS, CA 91360-5808
(805) 379-5247
Mailing address
218 N I ST, LOMPOC, CA 93436-0909
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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