LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC. NPI 1265906499

NPI Information

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. is an addiction medicine psychiatry neurology in Modesto, CA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. NPI is 1265906499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1317 OAKDALE RD STE 800
MODESTO, CA
ZIP 95355-366
Phone: (209) 284-0729
Fax: (209) 342-6634

The provider's authorized official is Amy D'amato .
The authorized official title is Contracts Manager and has the following contact phone number (805) 264-3388.

The enumeration date for this NPI number is 1/22/2019 and was last updated on 1/22/2019.

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:

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