Individual
RAFAEL LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 PLAZA DR # 102, LEHIGH ACRES, FL 33936-6071
(239) 491-9329
(239) 491-9359
Mailing address
201 PLAZA DR # 102, LEHIGH ACRES, FL 33936-6071
(239) 491-9329
(239) 491-9359
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
9358
FL
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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