Provider Demographics
NPI:1396370391
Name:LPW AND ASSOCIATES
Entity Type:Organization
Organization Name:LPW AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-256-3039
Mailing Address - Street 1:222 N MOUNTAIN AVE STE 201B
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5714
Mailing Address - Country:US
Mailing Address - Phone:909-256-3039
Mailing Address - Fax:909-727-8223
Practice Address - Street 1:222 N MOUNTAIN AVE STE 201B
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5714
Practice Address - Country:US
Practice Address - Phone:909-256-3039
Practice Address - Fax:909-727-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1154654713Medicaid