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Individual

MAX S LAGUERRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 LYON PL, OGDENSBURG, NY 13669-2586
(315) 393-2314
(315) 393-3873
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
226230
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02348805
NY
05
103210167
PA
Enumeration date
08/19/2005
Last updated
06/21/2023
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