Individual
DR. LESLIE LAGOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 W MAIN ST, BRIDGEPORT, WV 26330-1657
(304) 842-0647
Mailing address
1240 W MAIN ST, BRIDGEPORT, WV 26330-1657
(304) 842-0647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007525
WV
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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