Individual
DR. CHARLES PETER LAGO SR.
Active
Individual
DR. CHARLES PETER LAGO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME66163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002966
CARE PLUS
FL
01
—
1380688
UNITED HEALTHCARE
FL
01
—
201272
AMERI GROUP
FL
01
—
202325
AVMED
FL
01
—
26971
BLUE CROSS BLUE SHIELD
FL
01
—
3392686
AETNA HMO
FL
01
—
378125900
TCA
FL
05
—
378125900
—
FL
01
—
5334
N H P
FL
01
—
5578459
AETNA PPO
FL
Enumeration date
10/19/2005
Last updated
06/17/2010
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