# DR. CHAD A LAGRANGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962592873
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 24563 | NE | — |
| 208600000X | Surgery Physician | 40187 | KY | — |
| 208800000X | Urology Physician | 24563 | NE | Yes |
| 208800000X | Urology Physician | 40187 | KY | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 03/31/2025