Lagory, Jason

Lagory, Jason is an individual health care provider with primary practice located at 11 Childrens Way Slot 654, Little Rock AR 72202-3500. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lagory, Jason can be contacted via phone (501) 364-5150.

Contact Information

Primary practice address
11 Childrens Way Slot 654 Little Rock AR 72202-3500
Phone: (501) 364-5150
Fax: (501) 364-1592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 10-18P Arkansas

Profile Details

NPI number 1679726533
LBN Legal business name Lagory, Jason
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2008
Last updated Aug 18th, 2010 - about 15 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 1679726533 NPPES
Arkansas MEDICAID 170484795

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