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Individual

MARISOL LAGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSS

Contact information

Practice address
4747 EARHART BLVD STE D, NEW ORLEANS, LA 70125-1747
(504) 541-4031
(985) 781-4446
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
LA

Other

Enumeration date
01/25/2020
Last updated
07/12/2022
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