LC Mission LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55722 Issued in CA

Legal business name

LC MISSION LLC

Practice address

2462 Mission St
San Francisco, CA 94110-2415

Phone

(415) 648-0815

Fax

(415) 285-1237

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vera Abramova

Title

Cfo

Phone

(516) 422-8477

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Community Pharmacy Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1225187693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102415",
            "telephone_number": "415-648-0815",
            "fax_number": "415-285-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102415",
            "telephone_number": "415-648-0815",
            "fax_number": "415-285-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC MISSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "ABRAMOVA",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-422-8477"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170290",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225187693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose Gustavo Lazo Jr.
• Lauren Taylor Lazo, AMFT, APCC
• Roselyn Lazo
• Heather Lazzaretti
• Christina Lazzaretto, RD
• Michel Le Febvrier, RN
• Alison Le Jeune
• Thomas George Le Lievre, DC
• Victory Nguyen Le-Szarapka
• Ada Thanh Le

• Community/Retail Pharmacy in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.