Lawrence David Wagman MD Professional Corporation

NPI #1326327933 in Orange, California

Provider Information

NPI Number: 1326327933
Entity Type: Organization
Organization Name: Lawrence David Wagman MD Professional Corporation
Primary Specialty: Surgery
Enumeration Date: Aug 12, 2011
Last Updated: Aug 18, 2011

Practice Location

Address: 1010 W LA VETA AVE
Address 2: STE 470
City: Orange
State: California
ZIP Code: 92868-4300
Phone: (714) 734-6215

Authorized Official

Name: DR. LAWRENCE DAVID WAGMAN, M.D.
Title: PRESIDENT
Phone: (714) 734-6215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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