Physician Compare National (NPI:1336324193)

HEALTHCARE PROVIDER: PATRICK JACQUES LAGUERRE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1336324193
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890826705
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100621000728
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LAGUERRE
	Individual professional last name
Provider First Name	PATRICK
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	LAKE NORMAN ANESTHESIA ASSOCIATES
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1951396126
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	25
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	146 MEDICAL PARK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	MOORESVILLE
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	281178529
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7046620876
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	340129
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAKE NORMAN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y