MEDICARE: ANGELA LAGRAND

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1972494987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA LAGRAND

Provider Business Mailing Address
First Line	:	613 33RD ST UNIT D
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-7638
Country	:	US
Telephone Number	:	706-615-5893
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 33RD ST UNIT D
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-7638
Country	:	US
Telephone Number	:	706-615-5893
Fax Number	:

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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Directions to “ ANGELA LAGRAND ” Practice Location

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