MEDICARE: JOHN P LAGIOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	9656	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386684272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN P LAGIOS MD

Provider Business Mailing Address
First Line	:	915 MOUNTAIN ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3819
Country	:	US
Telephone Number	:	775-885-9400
Fax Number	:	775-885-8768

Provider Business Practice Location Address
First Line	:	915 MOUNTAIN ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3819
Country	:	US
Telephone Number	:	775-885-9400
Fax Number	:	775-885-8768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	01/12/2012

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