| NPI | 1093085565 |
|---|---|
| Doing Business As | LANTERMAN COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK HUTCHINSON Deputy Director 916-654-1897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-01-17 |