Individual
MR. MICHAEL PAUL LAGERSTRAND SR.
Active
Individual
MR. MICHAEL PAUL LAGERSTRAND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
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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