Lawrence David Wagman MD Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G55578 Issued in CA

Legal business name

LAWRENCE DAVID WAGMAN MD PROFESSIONAL CORPORATION

Practice address

1010 W la Veta Ave
Ste 470
Orange, CA 92868-4300

Phone

(714) 734-6215

Fax

(714) 734-6211

NPI assigned

Aug 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence David Wagman, M.D.

Title

President

Phone

(714) 734-6215

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1326327933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-734-6215",
            "fax_number": "714-734-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-734-6215",
            "fax_number": "714-734-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE DAVID WAGMAN MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "WAGMAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-734-6215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G55578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Peter Lavigne
• Stephany Lavigne
• Caitlin Amelia Law
• James H. Law, M.D.
• Kenny Law, MD
• Amy Lawrence, M.D.
• Miles Quincy Lawrence
• George V Lawry II, MD
• Jeffrey Lawton
• Thomas Joseph Lawton, M.D.

• Surgery Physician in Orange, CA
• Providers in Orange, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.