Wagman, Lawrence David
Wagman, Lawrence David is an individual health care provider with primary practice located at 1100 San Bernardino Road Suite 1100, Upland CA 91786-4952. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Wagman, Lawrence David can be contacted via phone (909) 949-2242.Contact Information
Primary practice address
1100 San Bernardino Road Suite 1100
Upland CA 91786-4952
Phone: (909) 949-2242
Fax: (909) 981-5783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G55578 | California |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | G55578 | California |
Profile Details
| NPI number | 1720180383 |
|---|---|
| LBN Legal business name | Wagman, Lawrence David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Apr 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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