MEDICARE: GREGORY T. LAGOS DO

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
1	207N00000X	Dermatology Physician	1300	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316946825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY T. LAGOS DO

Provider Business Mailing Address
First Line	:	607 CHESTNUT STREET
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-1205
Country	:	US
Telephone Number	:	304-766-9136
Fax Number	:	304-766-9139

Provider Business Practice Location Address
First Line	:	607 CHESTNUT STREET
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-1205
Country	:	US
Telephone Number	:	304-766-9136
Fax Number	:	304-766-9139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	02/01/2008

Similar Medicare Providers

1225144603 — TONIA M DANIELS C-FNP
Practice Location Address:

607 CHESTNUT ST
SOUTH CHARLESTON, WV
25309-1205

Practice Phone: 304-766-9136
Practice Fax: 304-766-9139

1356424667 — CENTER FOR DERMATOLOGY & SKIN CARE, INC.
Practice Location Address:

607 CHESTNUT STREET
SOUTH CHARLESTON, WV
25309-1205

Practice Phone: 304-766-9136
Practice Fax: 304-766-9139

1811408404 — RANDI LINN DILLON PA-C
Practice Location Address:

607 CHESTNUT ST
CHARLESTON, WV
25309-1205

Practice Phone: 304-766-9136
Practice Fax:

1568002509 — ALEXA MARIE FRUTH PA
Practice Location Address:

607 CHESTNUT ST
SOUTH CHARLESTON, WV
25309-1205

Practice Phone: 304-766-9136
Practice Fax: 304-766-9139

1386496420 — EMILY JOAN REEDY PA-C
Practice Location Address:

607 CHESTNUT ST
SOUTH CHARLESTON, WV
25309-1205

Practice Phone: 304-766-9136
Practice Fax: 304-766-9139

1760614226 — JOUMANA ELKHANSA LPC
Practice Location Address:

313 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
25303-1205

Practice Phone: 304-525-7851
Practice Fax: 304-525-1073

Directions to “ GREGORY T. LAGOS DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.