Individual
DR. LARRY LYNN HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 20TH ST, HUNTINGTON, WV 25703-2019
(304) 529-6100
(304) 529-0229
Mailing address
1001 20TH ST, HUNTINGTON, WV 25703-2019
(304) 529-6100
(304) 529-0229
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
22558
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011693000
—
WV
05
—
3810007713
—
WV
05
—
L2725779
—
OH
Enumeration date
06/06/2006
Last updated
09/27/2007
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