| Lags Spine And Sportscare Medical Centers, Inc. | |
|
4505 Precissi Ln Ste A Stockton CA 95207-6240 | |
| (209) 425-3815 | |
| (209) 451-0704 |
| Full Name | Lags Spine And Sportscare Medical Centers, Inc. |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 4505 Precissi Ln Ste A, Stockton, California |
| Authorized Official Name and Position | Amy D'amato (CONTRACTS MANAGER) |
| Authorized Official Contact | 8052643388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lags Spine And Sportscare Medical Centers, Inc. 218 N I St Lompoc CA 93436-0909 Ph: (805) 736-7886 | Lags Spine And Sportscare Medical Centers, Inc. 4505 Precissi Ln Ste A Stockton CA 95207-6240 Ph: (209) 425-3815 |
| NPI Number | 1255897757 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255897757 | NPI | - | NPPES |
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