Individual
JEANINE MARIE LAGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR., STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR., STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
615226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8164UB
BLUE CROSS BLUE SHIELD
TX
01
—
P01095287
RAILROAD MEDICARE
TX
Enumeration date
07/12/2005
Last updated
12/04/2012
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