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Individual

DR. JAMES PREWITT LAGREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49994
KY
207N00000X
Dermatology Physician
LL3077
SC
207R00000X
Internal Medicine Physician
192591
NC

Other

Enumeration date
05/14/2013
Last updated
10/04/2024
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