| NPI | 1609531748 |
|---|---|
| Doing Business As | LCA VANTAGE |
| Entity Type | Organization |
| Authorized Contact | VINCENT JOSEPH LOPEZ Founder & CEO 202-631-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |