Lca Augusta LLC

NPI #1568020808 in Augusta, Georgia

Provider Information

NPI Number: 1568020808
Entity Type: Organization
Organization Name: Lca Augusta LLC
Primary Specialty: Technician, Other
Enumeration Date: Jun 2, 2019
Last Updated: Jun 2, 2019

Practice Location

Address: 1831 CENTRAL AVE
City: Augusta
State: Georgia
ZIP Code: 30904-5734
Phone: (706) 739-5822

Authorized Official

Name: ANDREW CRUMRINE
Title: OWNER
Phone: (706) 306-4588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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