NPI 1063667152

Lucent Chiropractic

Organisation Preferred Provider Organization Los Angeles, CA

Practice location

Address: 11633 San Vicente Blvd Suite 214, Los Angeles, CA 90049-6511
Phone: (310) 592-7095
Fax: (310) 826-9894

Authorised official

Name: Serge C Lazatin
Title: Chiropractor
Phone: (310) 592-7095

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DC30358 (CA)

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Registry record

NPI: 1063667152
Entity type: Organization
NPI issued: 17 Nov 2008
Record last updated: 17 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.