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Individual

AMERICO R LAGONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2220 PARK AVE, MUSCATINE, IA 52761
(563) 263-0000
(563) 263-5113
Mailing address
2220 PARK AVE, MUSCATINE, IA 52761-5442
(563) 263-0000
(563) 263-5113

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00484
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0070946
IA
Enumeration date
04/20/2006
Last updated
11/14/2012
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