Individual
MR. MICHAEL PAUL LAGERSTRAND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
3200 VINE ST, 539/121, CINCINNATI, OH 45220-2213
(513) 861-3100
(513) 487-6693
Mailing address
3200 VINE ST, 539/121, CINCINNATI, OH 45220-2213
(513) 861-3100
(513) 487-6693
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO004304
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COOO4304
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS
—
Enumeration date
02/04/2009
Last updated
02/04/2009
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