MEDICARE: LISA MARIE LAGOS

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	103K00000X	Behavior Analyst
2	101Y00000X	Counselor	CG61135392	WA

General Provider Information

NPI Number	:	1578041620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MARIE LAGOS

Provider Business Mailing Address
First Line	:	11116 E 44TH AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-9405
Country	:	US
Telephone Number	:	620-797-0809
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 N ARGONNE RD STE 204
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2839
Country	:	US
Telephone Number	:	208-699-2595
Fax Number	:

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

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	04/12/2021

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1407382583 — JOSHUA BOSSE
Practice Location Address:

300 N ARGONNE RD , SUITE 204
SPOKANE VALLEY, WA
99212-2839

Practice Phone: 208-699-2595
Practice Fax:

1548768872 — ANNIE DOUGLAS
Practice Location Address:

300 N ARGONNE RD STE 204
SPOKANE VALLEY, WA
99212-2839

Practice Phone: 208-699-2595
Practice Fax: 855-889-4060

1093217150 — DRESDEN TILLMAN
Practice Location Address:

300 N ARGONNE RD STE 204
SPOKANE VALLEY, WA
99212-2839

Practice Phone: 208-699-2595
Practice Fax:

1609370766 — DINA BELICH BT
Practice Location Address:

300 N ARGONNE RD STE 204
SPOKANE VALLEY, WA
99212-2839

Practice Phone: 208-699-2595
Practice Fax:

1922581768 — DEIDRE ANGELIQUE CHERRY
Practice Location Address:

300 N ARGONNE RD STE 204
SPOKANE VALLEY, WA
99212-2839

Practice Phone: 208-699-2595
Practice Fax:

Directions to “ LISA MARIE LAGOS ” 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.