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Individual
DR. STEPHEN MATTHEW LAGO
Active
Individual
DR. STEPHEN MATTHEW LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-012237
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009423160001
—
PA
05
—
1009423160004
—
PA
01
—
PO1797415
RAILROAD MEDICARE
PA
Enumeration date
04/04/2006
Last updated
09/18/2020
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