Individual
DAVID AUGUSTINE LAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA-C
Contact information
Practice address
363 MAIN ST, SUITE C, REDWOOD CITY, CA 94063-1729
(650) 562-6466
(650) 306-0250
Mailing address
363 MAIN ST, SUITE C, REDWOOD CITY, CA 94063-1729
(650) 562-6466
(650) 306-0250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16903
CA
Other
Enumeration date
04/21/2009
Last updated
01/16/2017
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