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General NPI Number Information
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NPI Number | 1407874688
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Entity Type | Individual
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Provider Name | ELISA MARIA LAGANA DPM
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 27565 VIA SERENO
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City | CARMEL
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State | CA
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Zip | 93923-9533
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Country | US
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Telephone | 831-238-3030
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Fax | 831-603-7181
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Provider Business Mailing Address
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Address Line | PO BOX 223231
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City | CARMEL
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State | CA
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Zip | 93922-3231
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Country | US
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Telephone | 831-238-3030
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Fax | 831-603-7181
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4367
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License Number State | CA
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