| NPI | 1275813982 |
|---|---|
| Doing Business As | LCC CAMPUS HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | GENE SOBCZAK CEO 719-336-0261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2024-09-04 |