Individual
DR. BRIAN SCOTT LAGRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRICS, PHILADELPHIA, PA 19104
(215) 590-1220
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRICS, PHILADELPHIA, PA 19104
(215) 590-1220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT222380
PA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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