Lagwinski, Mikael D
Lagwinski, Mikael D is an individual health care provider with primary practice located at 3277 E Louise Dr Ste 350 , Meridian ID 83642-5510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Lagwinski, Mikael D can be contacted via phone (208) 887-9500.Contact Information
Primary practice address
3277 E Louise Dr Ste 350
Meridian ID 83642-5510
Phone: (208) 887-9500
Fax: (208) 887-9800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | M-9599 | Idaho |
Profile Details
| NPI number | 1679540363 |
|---|---|
| LBN Legal business name | Lagwinski, Mikael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Feb 28th, 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 | 1679540363 | NPPES |
| Idaho | Other | M-9599 | IDAHO BOARD OF MEDICINE |
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