MEDICARE: STEPHEN F. LAGA 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	49773	KY
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	517	WI
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	2023009417	MO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952361818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN F. LAGA M.D.

Provider Business Mailing Address
First Line	:	6308 8TH AVE STE 105
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53143-5031
Country	:	US
Telephone Number	:	262-577-8522
Fax Number	:	262-653-5850

Provider Business Practice Location Address
First Line	:	9555 76TH ST STE 3880
Second Line	:
City	:	PLEASANT PRAIRIE
State	:	WI
Zip	:	53158-1984
Country	:	US
Telephone Number	:	263-653-5483
Fax Number	:

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/28/2024

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Directions to “ STEPHEN F. LAGA M.D.” Practice Location

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