Individual
JEAN MARIE LAGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27899
MN
207R00000X
Internal Medicine Physician
Primary
8445
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007310
—
SD
05
—
846883400
—
MN
01
—
P01089468
RR MEDICARE
SD
Enumeration date
05/18/2006
Last updated
10/31/2019
Update your record
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