Individual
DR. DANIELLE MICHELLE LAGOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5722 INTEGRITY DR, MILLINGTON, TN 38054-5028
(901) 874-9464
Mailing address
5722 INTEGRITY DR # 784, MILLINGTON, TN 38054-5028
(571) 344-9714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101252520
VA
207Q00000X
Family Medicine Physician
Primary
A141473
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2011
Last updated
07/26/2024
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