Individual
MARGARET M LAGODNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143
(715) 732-3254
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7836
WI
363LF0000X
Family Nurse Practitioner
7836-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070831
—
WI
05
—
1578087326
—
MI
05
—
1578087326
—
WI
Enumeration date
08/02/2017
Last updated
11/22/2021
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