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Individual

CLARISSA O LAGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1000 E DOMINGUEZ ST, STE 110, CARSON, CA 90746-3600
(310) 715-7755
(424) 704-2493
Mailing address
1000 E DOMINGUEZ ST STE 110, CARSON, CA 90746-3615

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21700
CA

Other

Enumeration date
07/21/2011
Last updated
04/19/2017
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