MEDICARE: THRIVE LAGERKVIST MEDICAL SERVICES, LLC

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	207Q00000X	Family Medicine Physician	01059613A	IN

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	:	1346533783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE LAGERKVIST MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	1105 N WESTERN AVE
Second Line	:
City	:	MARION
State	:	IN
Zip	:	46952-2501
Country	:	US
Telephone Number	:	765-613-0111
Fax Number	:	765-662-8502

Provider Business Practice Location Address
First Line	:	1105 N WESTERN AVE
Second Line	:
City	:	MARION
State	:	IN
Zip	:	46952-2501
Country	:	US
Telephone Number	:	765-613-0111
Fax Number	:	765-662-8502

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DAWN LAGERKVIST
Credential	:	M.D.
Telephone Number	:	765-613-0111

Provider Enumeration Date	:	05/18/2011
Last Update Date	:	11/22/2011

Similar Medicare Providers

1326043571 — DR. GARY A FRICK DO
Practice Location Address:

1123 N WESTERN AVE
MARION, IN
46952-2501

Practice Phone: 765-651-9347
Practice Fax: 765-651-9346

1639569171 — CARDIOVASCULAR CONSULTANTS OF MARION PC
Practice Location Address:

1123 N WESTERN AVE
MARION, IN
46952-2501

Practice Phone: 765-651-9347
Practice Fax: 765-651-9346

1619569381 — JACOB M SCHLOSSER DC
Practice Location Address:

1105 N WESTERN AVE
MARION, IN
46952-2501

Practice Phone: 765-664-2479
Practice Fax:

1346015930 — CLEAR CHIROPRACTIC MARION LLC
Practice Location Address:

1105 N WESTERN AVE
MARION, IN
46952-2501

Practice Phone: 765-664-2479
Practice Fax: 765-662-1625

1669363800 — AMERICAN ONCOLOGY PARTNERS, P.A.
Practice Location Address:

1123 N WESTERN AVE
MARION, IN
46952-2501

Practice Phone: 260-436-0800
Practice Fax: 260-436-4203

1841142239 — TIFFANY LANE BRAGG
Practice Location Address:

1125 N WESTERN AVE
MARION, IN
46952-2501

Practice Phone: 765-661-0353
Practice Fax:

Directions to “THRIVE LAGERKVIST MEDICAL SERVICES, LLC ” 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.