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Individual

DR. JAMES ANTHONY LAGATTUTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1731
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045M6
BCBS NC
NC
05
6000182
NC
01
7815274
AETNA
NC
01
B1267
MEDCOST
NC
Enumeration date
05/30/2006
Last updated
03/16/2012
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