Individual
SHANE MICHAEL LAGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
781 LAKESHIRE TRL, ADRIAN, MI 49221-1561
(517) 263-2187
(517) 263-0024
Mailing address
781 LAKESHIRE TRL, ADRIAN, MI 49221-1561
(517) 266-0500
(517) 263-0024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704234605
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704234605
MI
Other
Enumeration date
04/26/2006
Last updated
04/28/2026
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