Organization
LAGS SPINE AND SPORTSCARE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS P. LAGATTUTA MD (PRESIDENT)
(805) 928-7361
Entity
Organization
Contact information
Practice address
354 S HALCYON RD, SUITE B, ARROYO GRANDE, CA 93420
(805) 928-7361
(805) 928-5742
Mailing address
135 CARMEN LN, SANTA MARIA, CA 93458-7729
(805) 928-7361
(805) 928-5742
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
E057735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E057735
STATE LICENSE
CA
Enumeration date
02/08/2008
Last updated
08/27/2018
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