| Michael Lagrone | |
|
566 Douglas St Fallon NV 89406-3907 | |
| (619) 512-7989 | |
| Not Available |
| Full Name | Michael Lagrone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 566 Douglas St, Fallon, Nevada |
| Authorized Official Name and Position | Michael Allan Lagrone (OWNER) |
| Authorized Official Contact | 6195127989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lagrone 566 Douglas St Fallon NV 89406-3907 Ph: (619) 512-7989 | Michael Lagrone 566 Douglas St Fallon NV 89406-3907 Ph: (619) 512-7989 |
| NPI Number | 1457742223 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457742223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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