Lucille Lopez Wagner R.p.t., Inc.

NPI 1225244130 - Specialist - 174400000X

NPI Details
NPI 1225244130
Enumeration Date 05/15/2007
Last Updated 08/29/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LUCILLE LOPEZ LUCILLE
Position PRESIDENT
Phone (714) 841-2688
Fax (714) 841-2688
Practice Location
17456 BEACH BLVD
HUNTINGTON BEACH CA, 92647-5913, US
Phone (714) 841-2688
Fax (714) 841-2688
Business Location
3079 NESTALL RD
LAGUNA BEACH CA, 92651-2026, US
Phone (949) 497-8227
Fax (714) 841-2688
Toxanomy
Taxonomy Code 174400000X
License State California
License Number PT6997
Remove 1225244130 NPI Number
 

According to our database, Lucille Lopez Wagner R.p.t., Inc. NPI is 1225244130, taxonomy code is 174400000X and license number is PT6997, license state is located at California. Lucille Lopez Wagner R.p.t., Inc. physically located at 17456 Beach Blvd, Huntington Beach CA, 92647-5913. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1225244130 NPI number is provided on an as is basis without warranty of any kind. 1225244130 is maintained by the National Plan & Provider Enumeration System. The contents of Lucille Lopez Wagner R.p.t., Inc. are for informational purposes only.