Provider Demographics
NPI:1285869255
Name:LGC BILLING SERVICES, INC
Entity type:Organization
Organization Name:LGC BILLING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLAVERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-259-4011
Mailing Address - Street 1:2294 HOLSTON ST
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-7839
Mailing Address - Country:US
Mailing Address - Phone:386-259-4011
Mailing Address - Fax:386-259-4808
Practice Address - Street 1:2294 HOLSTON ST
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-7839
Practice Address - Country:US
Practice Address - Phone:386-259-4011
Practice Address - Fax:386-259-4808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10131251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization