| Dr. Nicholas Lagow, P.c. | |
|
2021 W Michigan Ave Jackson MI 49202-4010 | |
| (517) 358-0860 | |
| (517) 787-1464 |
| Full Name | Dr. Nicholas Lagow, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2021 W Michigan Ave, Jackson, Michigan |
| Authorized Official Name and Position | Nicholas Lee Lagow (OWNER) |
| Authorized Official Contact | 5179372494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Nicholas Lagow, P.c. 2021 W Michigan Ave Jackson MI 49202-4010 Ph: (517) 358-0860 | Dr. Nicholas Lagow, P.c. 2021 W Michigan Ave Jackson MI 49202-4010 Ph: (517) 358-0860 |
| NPI Number | 1285377085 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285377085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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