Individual
DR. JEFFREY PAUL LAGASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6708 KENNEY WAY, CLINTON, WA 98236-8504
(360) 579-2744
Mailing address
PO BOX 637, FREELAND, WA 98249-0637
(360) 579-2744
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00032452
WA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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