Individual
FABIANE LAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 SW TATUM TER, PORT ST LUCIE, FL 34953-2690
(786) 357-9519
Mailing address
715 SW TATUM TER, PORT ST LUCIE, FL 34953-2690
(786) 357-9519
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
02/11/2025
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