Michael William Lagrange in Bloomington - Sports Medicine
Michael William Lagrange - NPI 1770754301
Michael William Lagrange is a Sports Medicine in Bloomington, Indiana. Michael William Lagrange practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael William Lagrange is 1770754301. The last update date is 2020-12-17.
Michael William Lagrange's current location address is 2605 E Creeks Edge Dr, Bloomington, Indiana. You can contact this provider via phone number 8123552300 and fax number 8123552302. The mailing address for Michael William Lagrange is 2605 E Creeks Edge Dr, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael William Lagrange |
|---|---|
| Address | 2605 E Creeks Edge Dr, Bloomington, Indiana |
| Phone Number | 8123552300 |
| Fax Number | 8123552302 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770754301 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2020-12-17 |
Provider Mailing Address Detail
| Address | 2605 E Creeks Edge Dr |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474018368 |
| Phone Number | 8123552300 |
| Fax Number | 8123552302 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 01066805A |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200942200 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael William Lagrange by the Centers for Medicare & Medicaid Services?
The Michael William Lagrange has been issued the NPI (National Provider Identifier) 1770754301 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael William Lagrange is physically located?
The Michael William Lagrange is physically situated at the following address: 2605 E Creeks Edge Dr, Bloomington, IN, 474018368.
What is Michael William Lagrange's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael William Lagrange is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date did the Michael William Lagrange receive the assignment of its 1770754301 from the Centers for Medicare & Medicaid Services?
The Michael William Lagrange was issued its 1770754301 by the Centers for Medicare & Medicaid Services on 2008-03-24.
When was the information related to Michael William Lagrange most recently updated or refreshed?
The details pertaining to the Michael William Lagrange, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-17.
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