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General NPI Number Information
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NPI Number | 1720035918
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Entity Type | Individual
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Provider Name | KARL H LAGALLY DO
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 9763 COURTHOUSE RD
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-1915
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Country | US
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Telephone | 540-786-1200
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Fax | 540-710-2752
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Provider Business Mailing Address
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Address Line | 9763 COURTHOUSE RD
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-1915
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Country | US
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Telephone | 540-786-1200
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Fax | 540-710-2752
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102201773
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License Number State | VA
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