Individual
DR. EVAN PETER LAGOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3869
(309) 243-7918
Mailing address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3869
(309) 243-7918
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036135865
IL
Other
Enumeration date
06/26/2009
Last updated
07/28/2020
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