LAWRENCEVILLE CENTER FOR PAIN AND SPINE LLC NPI 1871204511

NPI Information

NPI: 1871204511
Provider Name: LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2270931

Address:
755 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 771-6580
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LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC is an ambulatory surgical clinic center in Lawrenceville, GA. LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC NPI is 1871204511. The provider is registered as an organization entity type.

The provider's business location address is:

755 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30046-317
Phone: (770) 771-6580
Fax: (770) 771-6589

The provider's authorized official is Vincent Galan .
The authorized official title is Ceo and has the following contact phone number (770) 771-6580.

The CLIA number assigned to this NPI record is 11D2270931 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2022 and was last updated on 1/11/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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