Lags Spine and Sportscare Medical Centers, Inc.

NPI #1215493713 in Visalia, California

Provider Information

NPI Number: 1215493713
Entity Type: Organization
Organization Name: Lags Spine and Sportscare Medical Centers, Inc.
Primary Specialty: Psychologist - Addiction (Substance Use Disorder)
Enumeration Date: Feb 20, 2019
Last Updated: Feb 20, 2019

Practice Location

Address: 2350 W WHITENDALE AVE
City: Visalia
State: California
ZIP Code: 93277-6136
Phone: (559) 272-1295

Authorized Official

Name: AMY D'AMATO
Title: CONTRACTS MANAGER
Phone: (805) 264-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health	163WP0808X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X	Primary

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