Healthcare Provider Details

I. General information

NPI: 1215753710
Provider Name (Legal Business Name): LCS-CNMI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2024
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LCS-CNMI, INC., PMB 1293, 10001
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX 10001
SAIPAN MP
96950-8901
US

V. Phone/Fax

Practice location:
  • Phone: 670-785-5545
  • Fax:
Mailing address:
  • Phone: 670-785-5545
  • Fax: 909-906-1508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANA M LORENZ-GREGOR
Title or Position: PRESIDENT & CEO
Credential: PH.D
Phone: 909-210-1068