Individual
DR. BRIAN A LAGRECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Mailing address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7090
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048331
—
MT
01
—
0461032
MT STATE ID
MT
01
—
104306400
WORKERS COMP - REG
—
05
—
104306400
—
WY
01
—
105765101
WORKERS COMP - FIC
—
01
—
180044575
MT RR MEDICARE
MT
01
—
311773
WY BCBS
WY
01
—
32-0016290
FEDERAL TAX ID
—
01
—
5205A
WY MEDICAL LICENSE
WY
01
—
7090
MT MEDICAL LICENSE
MT
01
—
99920
BCBS PROVIDER NUMBER
—
01
—
CJ9407
RAILROAD MEDICARE
MT
Enumeration date
02/21/2007
Last updated
03/07/2023
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