Individual
DR. JACQUES PHILIPPE LAGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1995 WELLNESS BLVD, STE 110, BLDG B, MONROE, NC 28110-7769
(704) 384-1140
(704) 384-1141
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1140
(704) 384-1141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200601831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907361
—
NC
Enumeration date
03/01/2007
Last updated
10/28/2020
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