Provider Demographics
NPI:1427754902
Name:LAGARE, REGULUS V
Entity type:Individual
Prefix:
First Name:REGULUS
Middle Name:V
Last Name:LAGARE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27343 CHASE RD
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-6850
Mailing Address - Country:US
Mailing Address - Phone:310-782-5317
Mailing Address - Fax:
Practice Address - Street 1:27343 CHASE RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-6850
Practice Address - Country:US
Practice Address - Phone:310-782-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant