Individual
KEVIN M LAGE
Active
Individual
KEVIN M LAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171692
VA
363LF0000X
Family Nurse Practitioner
Primary
209011664
IL
363LF0000X
Family Nurse Practitioner
A136114
IA
363LF0000X
Family Nurse Practitioner
R217017
MD
363LF0000X
Family Nurse Practitioner
RN1019749
DC
Other
Enumeration date
05/23/2014
Last updated
04/21/2016
Update your record
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