Individual
JOHN R LAGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
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
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