Individual
IRMA MARIANA SANTIAGO LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 POMONA DR, GREENSBORO, NC 27407
(336) 299-0000
(336) 299-2335
Mailing address
102 POMONA DR, GREENSBORO, NC 27407-1616
(336) 299-0000
(336) 299-2335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-00102
NC
207Q00000X
Family Medicine Physician
MD2012-0350
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85784842
—
NM
01
—
NMA102941
MEDICARE PTAN
—
Enumeration date
03/30/2009
Last updated
10/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us