Lagoc, Raileen C
Lagoc, Raileen C is an sole proprietor health care provider with primary practice located at 1850 Rosaline Ave , Redding CA 96001-2534. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lagoc, Raileen C can be contacted via phone (530) 244-6534.Contact Information
Primary practice address
1850 Rosaline Ave
Redding CA 96001-2534
Phone: (530) 244-6534
Fax: (530) 244-6595
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A72405 | California |
Profile Details
NPI number | 1356319651 |
---|---|
LBN Legal business name | Lagoc, Raileen C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 10th, 2006 |
Last updated | Dec 12th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356319651 | NPPES |
California | MEDICAID | 00A724050 |
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