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Lucille Lopez Wagner R.p.t., Inc.
Specialist in Huntington Beach, California
NPI 1225244130

Lucille Lopez Wagner R.p.t., Inc. is a Specialist based in Laguna Beach, CA. Lucille Lopez Wagner R.p.t., Inc. practices in Huntington Beach, CA. The NPI Number for Lucille Lopez Wagner R.p.t., Inc. is 1225244130 and holds a License No. PT6997 (California).

The current practice location address for Lucille Lopez Wagner R.p.t., Inc. is 17456 Beach Blvd, Huntington Beach, CA and can be reached out via phone at 714-841-2688 and via fax at 714-841-2688.

Location: 17456 Beach Blvd, Huntington Beach, CA, 92651-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225244130
Provider Name
Lucille Lopez Wagner R.p.t., Inc.
Credential
Provider Entity Type
Organization
Address
17456 Beach Blvd, Huntington Beach, CA, 92651-2026
Phone Number
714-841-2688
Fax Number
714-841-2688
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17456 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-5913
Phone Number
714-841-2688
Fax Number
714-841-2688
person
Provider Business Mailing Address Details
Address
17456 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-5913
Phone Number
714-841-2688
Fax Number
714-841-2688
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT6997 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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