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Individual
SHARI L LAGODZINSKI
Active
Individual
SHARI L LAGODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110511
FL
363AM0700X
Medical Physician Assistant
002013
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023165600
—
FL
01
—
I20940042
MEDICARE PTAN
IA
Enumeration date
08/29/2009
Last updated
03/29/2021
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