Healthcare Provider Details

I. General information

NPI: 1184193823
Provider Name (Legal Business Name): MARY ELIZABETH LAGASCA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2018
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3183 N NATIONAL RD
COLUMBUS IN
47201-3164
US

IV. Provider business mailing address

3183 N NATIONAL RD
COLUMBUS IN
47201-3164
US

V. Phone/Fax

Practice location:
  • Phone: 812-373-3376
  • Fax: 812-373-7977
Mailing address:
  • Phone: 812-373-3376
  • Fax: 812-373-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12525
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: