Organization
ROBERT & DAWN LAGONE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TELETHA JEAN MAXSON INTERNET SECURITY (BILLING)
(563) 263-0000
Entity
Organization
Contact information
Practice address
1020 SPRUCE HILLS DR, BETTENDORF, IA 52722-2356
(563) 359-3000
(563) 359-1611
Mailing address
1020 SPRUCE HILLS DRIVE, BETTENDORF, IA 52722-2356
(563) 359-3000
(563) 359-1611
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00484
IA
213E00000X
Podiatrist
00542
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444695
—
IA
Enumeration date
06/26/2008
Last updated
06/26/2008
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