Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lags Spine and Sportscare Medical Centers, Inc

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1083175483

Lags Spine and Sportscare Medical Centers, Inc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lodi, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

777 S Ham Ln Ste G
Lodi, CA 95242-3593
Phone: (805) 736-7886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1083175483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hallie Medina — Contracting Assistant · (661) 432-1451
Other names Lags Medical Center
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019
Mailing address218 N I St, Lompoc, CA 93436-0909