Individual
ERICA LANE MAGGELET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1221 N SALSIPUEDES ST # A, SANTA BARBARA, CA 93103-2327
(801) 554-1073
Mailing address
4 E DARTMOOR LN, SLC, UT 84103-2279
(801) 554-1073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA68759
CA
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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