SPINE INNOVATIONS, LLC is a specialist in Lacombe, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPINE INNOVATIONS, LLC NPI is 1366973935. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
29301 N DIXIE RANCH RD
LACOMBE, LA
ZIP 70445-403
Phone: (985) 871-4114
Fax: (985) 871-4130
The provider's authorized official is Donald D Dietze .
The authorized official title is Owner and has the following contact phone number (985) 871-4114.
The CLIA number assigned to this NPI record is 19D2145120 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/24/2017 and was last updated on 3/24/2017.