Hagan, Larry Lynn

Hagan, Larry Lynn is an individual health care provider with primary practice located at 1001 20Th St , Huntington WV 25703-2019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Hagan, Larry Lynn can be contacted via phone (304) 529-6100.

Contact Information

Primary practice address
1001 20Th St Huntington WV 25703-2019
Phone: (304) 529-6100
Fax: (304) 529-0229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 22558 West Virginia

Profile Details

NPI number 1053350751
LBN Legal business name Hagan, Larry Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 27th, 2007 - about 17 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 1053350751 NPPES
West Virginia MEDICAID 3810007713
West Virginia MEDICAID L2725779
West Virginia MEDICAID 0011693000

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