Breanna Lagore, is a
Licensed Practical Nurse based in Brooklyn, Michigan. Breanna Lagore is licensed to practice in Michigan (license number 4703116626) and her current practice location is
2565 Dardy Dr, Brooklyn, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 745-9384.
NPI number for Breanna Lagore is 1063965887 and her current mailing address is 2565 Dardy Dr, Brooklyn, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063965887.
Provider's Profile
Full Name | Breanna Lagore |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2565 Dardy Dr, Brooklyn, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063965887
- Provider Enumeration Date: 07/28/2016
- Last Update Date: 07/28/2016
Medical Identifiers
Medical identifiers for Breanna Lagore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063965887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703116626 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Lagore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Breanna Lagore, 2565 Dardy Dr, Brooklyn, MI 49230-9319 Ph: (517) 745-9384 | Breanna Lagore, 2565 Dardy Dr, Brooklyn, MI 49230-9319 Ph: (517) 745-9384 |
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