Individual
DR. CASEY LEE LAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Mailing address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
76803-20
WI
207X00000X
Orthopaedic Surgery Physician
P9895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340098801
—
TX
Enumeration date
04/10/2009
Last updated
08/02/2022
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