Individual
TERESA LAGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5270 W BASELINE RD STE 145, LAVEEN, AZ 85339-6959
(623) 267-5570
Mailing address
20123 W MEDLOCK DR, LITCHFIELD PARK, AZ 85340-9436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11326
AZ
363A00000X
Physician Assistant
Primary
11326
AZ
Other
Enumeration date
11/17/2025
Last updated
12/18/2025
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