Lago, Stephen Matthew

Lago, Stephen Matthew is an individual health care provider with primary practice located at 720 Norman Dr , Lebanon PA 17042-7481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lago, Stephen Matthew can be contacted via phone (717) 274-6657.

Contact Information

Primary practice address
720 Norman Dr Lebanon PA 17042-7481
Fax: (717) 270-6615
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS-012237 Pennsylvania

Profile Details

NPI number 1427010701
LBN Legal business name Lago, Stephen Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Sep 18th, 2020 - about 4 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 1427010701 NPPES
Pennsylvania MEDICAID 1009423160001
Pennsylvania Other PO1797415
Pennsylvania MEDICAID 1009423160004

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