MEDICARE: DR. FLORDELINO CIMATU LAGUNDINO SR. M.D.

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	208D00000X	General Practice Physician	0101027784	VA

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	:	1922161025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORDELINO CIMATU LAGUNDINO SR. M.D.

Provider Business Mailing Address
First Line	:	1529 INTERNATIONAL BLVD
Second Line	:	SUITE 106
City	:	NORFOLK
State	:	VA
Zip	:	23513-4802
Country	:	US
Telephone Number	:	757-214-9230
Fax Number	:	757-855-6050

Provider Business Practice Location Address
First Line	:	1529 INTERNATIONAL BLVD
Second Line	:	SUITE 106
City	:	NORFOLK
State	:	VA
Zip	:	23513-4802
Country	:	US
Telephone Number	:	757-214-9230
Fax Number	:	757-855-6050

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	03/13/2012

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