Individual
ANDREW TODD LAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1420 SW ST LUCIE WEST BLVD, SUITE 105, PORT ST LUCIE, FL 34986-1709
(772) 878-7300
(772) 878-9200
Mailing address
1420 SW ST LUCIE WEST BLVD, SUITE 105, PORT ST LUCIE, FL 34986-1709
(772) 878-7300
(772) 878-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14323
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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