Organization · Type 2 NPI
Lags Spine and Sportscare Medical Centers, Inc.
Addiction Medicine (Psychiatry & Neurology) Physician · Modesto, CA
Practice location
803 Coffee Rd Ste 11
Modesto, CA 95355-4244
Mailing address
218 N I St
Lompoc, CA 93436-0909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: 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
3 other providers at this address
- Cherie Dockery Licensed Clinical Social Work CorporationClinical Social Worker Modesto, CA NPI 1356275291
- Lags Spine and Sportscare Medical Centers, Inc.Pain Medicine (Physical Medicine & Rehabilitation) Physician Modesto, CA NPI 1588147094
- Nicole Johnson, LMFT, CSATMarriage & Family Therapist Modesto, CA NPI 1235505306
Other addiction medicine (psychiatry & neurology) physician providers in Modesto
About NPI 1376007476
Lags Spine and Sportscare Medical Centers, Inc.'s National Provider Identifier is 1376007476, issued on Jan 23, 2019. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Modesto, CA. The record was last updated on Jan 23, 2019.