SearchCalifornia363LA2200X

Lee Fagen, NP

NPI 1275639098 · on the registry since 2006

Practice

Address
2222 Bancroft Ext
Berkeley, CA 94720
Phone
(510) 643-9135
Clinicians at this address
19

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California