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David Augustine Lague, MPA-C

Physician Assistant, Medical in Redwood City, CA. Individual provider (NPI-1).

NPI number1295979227
StatusActive
Last updated in NPPESJan 16, 2017

Details

NPI
1295979227
Entity type
Individual (NPI-1)
Name
David Augustine Lague
Credential
MPA-C
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2009
Last updated
Jan 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA16903CAYes

Practice location

363 Main St
Suite C
Redwood City, CA 94063-1729

Phone 650-562-6466 · Fax 650-306-0250

Mailing address

363 Main St
Suite C
Redwood City, CA 94063-1729

Phone 650-562-6466 · Fax 650-306-0250

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