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NPI Code Detail

MEDICARE: DENNIS VELASGUEZ LAGMAN MD

MEDICARE:   DENNIS VELASGUEZ LAGMAN  MD
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
1208D00000XGeneral Practice Physician35-07-4212-LOH

Other Identifiers

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

General Provider Information

NPI Number : 1962406355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS VELASGUEZ LAGMAN MD
Provider Business Mailing Address
First Line : PO BOX 39413
Second Line :
City : CLEVELAND
State : OH
Zip : 44139-0413
Country : US
Telephone Number : 440-523-5023
Fax Number : 440-523-5029
Provider Business Practice Location Address
First Line : 10 E WASHINGTON ST
Second Line :
City : PAINESVILLE
State : OH
Zip : 44077-3460
Country : US
Telephone Number : 440-354-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/08/2007

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Directions to “ DENNIS VELASGUEZ LAGMAN MD” Practice Location

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