Lagaly, William J

Lagaly, William J is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Lagaly, William J can be contacted via phone (706) 475-2660.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Phone: (706) 475-2660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 259734 New York
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 1432 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 85256 Georgia
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 85256 Georgia

Profile Details

NPI number 1356371272
LBN Legal business name Lagaly, William J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356371272 NPPES
Arkansas MEDICAID 132919003
Arkansas Other P00699654

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