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LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC NPI 1144525114


NPI Information

NPI: 1144525114
Provider Name: LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC

Doing Business As: LAGS SPINE AND SPORTS CARE MEDICAL CENTER INC

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1223 HIGUERA ST
SUITE 203
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 541-8581
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LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC is a pain medicine physical medicine rehabilitation in San Luis Obispo, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC NPI is 1144525114. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lags Spine And Sports Care Medical Center Inc.

The provider's business location address is:

1223 HIGUERA ST
SUITE 203
SAN LUIS OBISPO, CA
ZIP 93401-145
Phone: (805) 541-8581
Fax: (805) 541-8584

The provider's authorized official is Francis P Lagattuta .
The authorized official title is President and has the following contact phone number (805) 928-7361.

The enumeration date for this NPI number is 1/21/2011 and was last updated on 8/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineG84334CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15197200003MEDICARE NSCCALIFORNIA
2W17810MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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