Individual
MARITZA E LAGOS-SAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 SHAFFER ST, SUITE 010, KALAMAZOO, MI 49048-1647
(269) 337-6373
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301073738
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2603910542
BCBS
—
05
—
4541920
—
MI
Enumeration date
03/17/2006
Last updated
06/14/2012
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