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Organization
LAGLEVA TRANSITIONS MHT LLC
Active
Organization
LAGLEVA TRANSITIONS MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL L LAGLEVA MD (OWNER)
(864) 449-1182
Entity
Organization
Contact information
Practice address
317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
(803) 714-3665
Mailing address
317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
(803) 714-3665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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