Individual
LAGROTTA DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 S MAIN ST, SPENCER, IN 47460-1711
(812) 606-4208
Mailing address
406 S MAIN ST, SPENCER, IN 47460-1711
(812) 606-4208
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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