Individual
DR. CHARLES THOMAS LAGOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
186 MEDICAL VILLAGE DR, NEWPORT, VT 05855-8537
(802) 334-3520
(802) 334-3512
Mailing address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 293-3755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12727
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025147
—
VT
01
—
Y400235929
MEDICARE
VT
Enumeration date
07/08/2008
Last updated
07/07/2021
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