Individual
DR. GINA MARIE LAGNESE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
721 N BEERS ST, HOLMDEL, NJ 07733-1518
(732) 888-1717
(732) 888-2101
Mailing address
327 RUDOLPH AVE, RAHWAY, NJ 07065-1628
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD02392
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036137
—
NJ
01
—
1K8706
HEALTH NET
—
01
—
2631338000
AMERIHEALTH IND. PROV. #
—
05
—
7258003
—
NJ
01
—
P3603624
OXFORD ID
—
Enumeration date
05/19/2006
Last updated
07/09/2007
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