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MR. LARRY LAGATIANA M.B.B.S

>> Otolaryngology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1871040535

Individual Registrant:
MR. LARRY  LAGATIANA M.B.B.S
Gender: M
Not Sole Proprietor

Location and contact information for practice:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: 684-633-2893

Contact information for business:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: 684-633-2893

Registration Information:
NPI: 1871040535
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XAllopathic & Osteopathic Physicians
Otolaryngology
AS4045-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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