Individual
AL LAGMAN ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 7TH AVE S, ESCANABA, MI 49829-1176
(906) 786-4628
Mailing address
2500 7TH AVE S, ESCANABA, MI 49829-1176
(906) 786-4628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301063755
MI
207Q00000X
Family Medicine Physician
C51658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351048205
ECFMG
—
01
—
4301063755
CONTROLLED SUBSTANCE
MI
05
—
464159710
—
MI
Enumeration date
08/02/2005
Last updated
03/07/2023
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