Individual
FREDERICK LAMARR STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25431 CABOT RD STE 107, LAGUNA HILLS, CA 92653-5526
(562) 427-1322
(562) 427-2255
Mailing address
25431 CABOT RD STE 107, LAGUNA HILLS, CA 92653-5526
(562) 427-1322
(562) 427-2255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G57932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006579320
—
CA
Enumeration date
05/02/2006
Last updated
02/27/2025
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