Individual
EMILY A LAGACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15290 PENNOCK LN, APPLE VALLEY, MN 55124-7163
(952) 853-8800
(952) 431-6966
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37420
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133015200
—
MN
Enumeration date
02/27/2006
Last updated
11/17/2021
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