# DR. CHARLES THOMAS LAGOY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649433913
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12727 | MT | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1025147 | — | VT |
| 01 | — | Y400235929 | MEDICARE | VT |