Organization
ANN MARIE LAGO, D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN MARIE LAGO D.O. (PRESIDENT)
(484) 919-1078
Entity
Organization
Contact information
Practice address
27 WINDING BROOK DR, SINKING SPRING, PA 19608-9615
(484) 919-1078
Mailing address
27 WINDING BROOK DR, SINKING SPRING, PA 19608-9615
(484) 919-1078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012806
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013005500001
—
PA
Enumeration date
02/28/2008
Last updated
02/28/2008
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