Organization
FEDERAL CORRECTIONAL COMPLEX LOMPOC
Active
Parent organization
FEDERAL BUREAU OF PRISONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
LAWRENCE CROSS (HEALTH SYSTEM ADMINISTRATOR)
(805) 735-2771
Entity
Organization
Contact information
Practice address
3901 KLEIN BLVD, LOMPOC, CA 93436-2706
(805) 735-2771
(805) 737-3105
Mailing address
3901 KLEIN BLVD, LOMPOC, CA 93436-2706
(805) 735-2771
(805) 737-3105
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
FEDERAL PRISON
—
Enumeration date
11/06/2019
Last updated
11/06/2019
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