Individual
LAURENT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12301 WILSHIRE BLVD STE 315, LOS ANGELES, CA 90025-1053
(424) 325-3368
Mailing address
1543 W 228TH ST, TORRANCE, CA 90501-5106
(424) 325-3368
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
818030
CA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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