Individual
ARNOLD LAZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(858) 248-6656
Mailing address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42825
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
09/19/2015
Last updated
04/02/2025
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