Individual
DR. AMY LYNN LAGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1000 WALL STREET, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-009638
IL
152W00000X
Optometrist
Primary
4901004247
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046-009638
—
IL
Enumeration date
08/31/2006
Last updated
05/23/2011
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