Lagos, Jaime Andres

Lagos, Jaime Andres is an individual health care provider with primary practice located at 98 Willow Ln , Spartanburg SC 29307-1357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Lagos, Jaime Andres can be contacted via phone (864) 585-5552.

Contact Information

Primary practice address
98 Willow Ln Spartanburg SC 29307-1357
Phone: (864) 585-5552
Fax: (864) 597-0179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 30260 South Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2011-01327 North Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD30260 South Carolina

Profile Details

NPI number 1235321233
LBN Legal business name Lagos, Jaime Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Oct 31st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235321233 NPPES
South Carolina Other AA23164292 MEDICARE PTAN
South Carolina MEDICAID 1881684207 MEDICARE PTAN
South Carolina MEDICAID 302602 MEDICARE PTAN
South Carolina Other NCT474A MEDICARE PTAN

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