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Individual

DR. KARL H LAGALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9763 COURTHOUSE RD, SPOTSYLVANIA, VA 22553-1915
(540) 786-1200
(540) 710-2752
Mailing address
9763 COURTHOUSE RD, SPOTSYLVANIA, VA 22553-1915
(540) 786-1200
(540) 710-2752

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201773
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010187907
VA
01
183516
ANTHEM SVS & HEALTHKEEPER
VA
05
183516
VA
01
313081
SOUTHERN HEALTH
VA
01
3803459
CIGNA
VA
Enumeration date
05/31/2006
Last updated
02/09/2012
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