Individual
MR. KEVIN LAGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1207 CHESTNUT ST FL 3, PHILADELPHIA, PA 19107-4131
(267) 725-0252
Mailing address
1233 LOCUST ST FL 3, PHILADELPHIA, PA 19107-5400
(267) 725-0252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP029565
PA
Other
Enumeration date
03/07/2016
Last updated
05/21/2024
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