Individual
HOLLY J LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
10280 N 91ST AVE, PEORIA, AZ 85345-6461
(602) 842-9880
(877) 891-4091
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R134082-4
MN
363LF0000X
Family Nurse Practitioner
2020040251
MO
363LF0000X
Family Nurse Practitioner
Primary
80303
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121785
MEDICA
—
05
—
0599456
—
IA
01
—
135445
UCARE
—
01
—
13620
AVERA
—
01
—
253254
MIDLANDS CHOICE
—
01
—
281G0KO
BLUE CROSS BLUE SHIELD
MN
01
—
435M6KO
BLUE CROSS BLUE SHIELD
MN
01
—
47358
SANFORD HEALTH
—
01
—
806278
AMERICAS PPO
—
05
—
886467500
—
MN
01
—
974311045631
PREF ONE
—
01
—
HP56828
HEALTHPARTNERS
—
01
—
P00365643
RAILROAD MEDICARE
—
Enumeration date
01/26/2006
Last updated
02/19/2026
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