Lagrange, Michael William

Lagrange, Michael William is an individual health care provider with primary practice located at 2605 E Creeks Edge Dr , Bloomington IN 47401-8368. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lagrange, Michael William can be contacted via phone (812) 355-2300.

Contact Information

Primary practice address
2605 E Creeks Edge Dr Bloomington IN 47401-8368
Phone: (812) 355-2300
Fax: (812) 355-2302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01066805A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01066805A Indiana

Profile Details

NPI number 1770754301
LBN Legal business name Lagrange, Michael William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Dec 17th, 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 1770754301 NPPES
Indiana MEDICAID 200942200

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