| NPI | 1154914190 |
|---|---|
| Doing Business As | LBP CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GARISPE AO 909-362-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |