MEDICARE: DR. FRANCISCO LAGO-VELEZ M.D.

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	207Q00000X	Family Medicine Physician	29624	CO

General Provider Information

NPI Number	:	1841261807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO LAGO-VELEZ M.D.

Provider Business Mailing Address
First Line	:	13800 OLD GENTILLY RD
Second Line	:	USCG ISC NEW ORLEANS
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2218
Country	:	US
Telephone Number	:	504-329-1421
Fax Number	:	504-678-7698

Provider Business Practice Location Address
First Line	:	13800 OLD GENTILLY RD
Second Line	:	USCG ISC NEW ORLEANS
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2218
Country	:	US
Telephone Number	:	504-329-1421
Fax Number	:	504-678-7698

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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