Lagarde, Stacia Gilde Marie
Lagarde, Stacia Gilde Marie is an individual health care provider with primary practice located at 200 S Boltwood St , Hastings MI 49058-1926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lagarde, Stacia Gilde Marie can be contacted via phone (269) 945-4220.Contact Information
Primary practice address
200 S Boltwood St
Hastings MI 49058-1926
Phone: (269) 945-4220
Fax: (269) 945-4229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301087952 | Michigan |
Profile Details
| NPI number | 1790871093 |
|---|---|
| LBN Legal business name | Lagarde, Stacia Gilde Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Oct 25th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790871093 | NPPES |
| Michigan | MEDICAID | 4915234 |
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