Individual
MARY GRACE LAGMAN-BELTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291
(253) 403-1374
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291
(253) 403-1374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60126222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507734
BCBS
OH
01
—
000000508358
BCBS CLARK COUNTY
—
05
—
2690315
—
OH
01
—
320800
AMERIGROUP
—
01
—
P00379259
RAIL ROAD MEDICARE
—
Enumeration date
10/12/2006
Last updated
09/06/2013
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