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Individual

ANN LUCILLE LAGONEGRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
6093 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-3750
(804) 693-9600
(804) 693-7447
Mailing address
6093 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-3750
(804) 693-9600
(804) 693-7447

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006522
VA

Other

Enumeration date
07/29/2006
Last updated
07/08/2007
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