Lagorio, Mary Michele
Lagorio, Mary Michele is an sole proprietor health care provider with primary practice located at 11750 Old River Rd , Hopland CA 95449-2132. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lagorio, Mary Michele can be contacted via phone (707) 972-5415.Contact Information
Primary practice address
11750 Old River Rd
Hopland CA 95449-2132
Phone: (707) 972-5415
Fax: (707) 744-3337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS8741 | Florida |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 20A6812 | California |
Profile Details
| NPI number | 1144396060 |
|---|---|
| LBN Legal business name | Lagorio, Mary Michele |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Dec 12th, 2022 - about 2 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 | 1144396060 | NPPES |
| Florida | Other | P00471709 | RR MEDICARE |
| Florida | Other | 57948 | RR MEDICARE |
| Florida | Other | 99267 | RR MEDICARE |
| Florida | MEDICAID | 266515800 | RR MEDICARE |
| Florida | Other | P00204267 | RR MEDICARE |
| Florida | Other | 291851 | RR MEDICARE |
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