Individual
MR. LARRY LAGATIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
PO BOX LBJ, PAGO PAGO, AS 96799-0010
(684) 633-1222
(684) 633-2893
Mailing address
PO BOX LBJ, PAGO PAGO, AS 96799-0010
(684) 633-1222
(684) 633-2893
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4045-C
AS
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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