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Individual

JOHN R LAGESON

Active
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Individual

JOHN R LAGESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31784
MN
208M00000X
Hospitalist Physician
31784
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0402522
MEDICA #
MN
01
0402523
MEDICA #
MN
01
0402524
MEDICA #
MN
01
10274
NDBS #
MN
01
11815
NDBS #
MN
01
167225
UCARE #
MN
01
904871
AMERICA'S PPO/ARAZ #
MN
01
9F26LA
MNBS #
MN
01
DA9041015677
PREFERRED ONE #
MN
01
HP19534
HEALTHPARTNERS #
MN
01
MN100004
LHS/BANNERHEALTH #
MN
Enumeration date
06/10/2006
Last updated
11/01/2017
Update your record

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