Organization
SGL HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE LACOGNATA MD (MD)
(480) 652-5928
Entity
Organization
Contact information
Practice address
3941 E BASELINE RD STE 102, GILBERT, AZ 85234-2750
(480) 969-3531
(866) 764-4599
Mailing address
4850 E BASELINE RD STE 118, MESA, AZ 85206-4626
(480) 652-5928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628737
—
AZ
Enumeration date
07/20/2016
Last updated
05/11/2026
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