Individual
RONALD JOSEPH LAGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1234
Mailing address
415 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2010
Last updated
11/10/2021
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