FEDERAL CORRECTIONAL COMPLEX LOMPOC NPI 1801430418

NPI Information

FEDERAL CORRECTIONAL COMPLEX LOMPOC is a prison health clinic center in Lompoc, CA. FEDERAL CORRECTIONAL COMPLEX LOMPOC NPI is 1801430418. The provider is registered as an organization entity type.

The provider's business location address is:

3901 KLEIN BLVD
LOMPOC, CA
ZIP 93436-706
Phone: (805) 735-2771
Fax: (805) 737-3105

The provider's authorized official is Lawrence Cross .
The authorized official title is Health System Administrator and has the following contact phone number (805) 735-2771.

The CLIA number assigned to this NPI record is 05D0672898 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2019 and was last updated on 11/6/2019.

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:

Other Identifiers

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

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