Individual
MR. ANDRES R LAGOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2401 W BELVEDERE AVE, RUBIN INSTITUTE FOR ADVANCED ORTHOPEDICS, BALTIMORE, MD 21215-5216
(410) 601-9440
(410) 601-1870
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0003101
MD
363AS0400X
Surgical Physician Assistant
Primary
C0003101
MD
Other
Enumeration date
07/22/2006
Last updated
10/19/2009
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