Individual
JAMES M HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595
(707) 263-5576
Mailing address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595
(707) 263-5576
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480028898
RAILROAD MEDICARE
CA
Enumeration date
05/24/2005
Last updated
03/21/2011
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