Individual
DOMINICK LAGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301060139
MI
207L00000X
Anesthesiology Physician
Primary
ME157049
FL
Other
Enumeration date
06/13/2006
Last updated
02/03/2023
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