Individual
RAFAEL LUCAS LAGLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24004
SC
208M00000X
Hospitalist Physician
Primary
24004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCE1425019
MEDICARE
SC
01
—
SCE1429068
MEDICARE
SC
05
—
T82728
—
SC
Enumeration date
05/28/2006
Last updated
05/22/2025
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