Individual provider · Type 1 NPI

Stacy M. Lagomarsino, PAC

Surgical Physician Assistant · San Francisco, CA

NPI number 1033240833 Active

Practice location

1600 Owens St
San Francisco, CA 94158-2261

Mailing address

4601 Dale Rd
Modesto, CA 95356-9718

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA18133 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1033240833

Stacy M. Lagomarsino, PAC's National Provider Identifier is 1033240833, issued on Mar 7, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Francisco, CA. The record was last updated on Oct 11, 2024.