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NPI Code Detail

MEDICARE: DR. CHAD A LAGRANGE MD

MEDICARE:  DR. CHAD A LAGRANGE  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
1208600000XSurgery Physician40187KY
2208600000XSurgery Physician24563NE
3208800000XUrology Physician40187KY
4208800000XUrology Physician24563NE

General Provider Information

NPI Number : 1962592873
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD A LAGRANGE MD
Provider Business Mailing Address
First Line : 982360 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-2360
Country : US
Telephone Number : 402-559-4292
Fax Number :
Provider Business Practice Location Address
First Line : 982360 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-2360
Country : US
Telephone Number : 402-559-4292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 03/31/2025

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Directions to “ DR. CHAD A LAGRANGE MD” Practice Location

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