CARL E LAGUERRE


Address: 283 Lancaster Ave, Malvern, PA 19355-3089
Phone: 6102964170

CARL E LAGUERRE (NPI# 1730632753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730632753
Entity Type Individual
Full Name CARL E LAGUERRE
Credential CRNP
Practice Address 283 Lancaster Ave
Malvern
PA 19355-3089
Practice Telephone 6102964170
Mailing Telephone 6102964170
Enumeration Date 2016-07-26
Last Update Date 2016-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP016382 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
SP016382 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 283 LANCASTER AVE
City MALVERN
State PA
Zip Code 19355-3089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295807345 Care Institute of Main Line and Haverford, LLC Skilled Nursing Facility 283 Lancaster Ave, Malvern, PA 19355-3089 2006-11-14
1891205332 Chester Place Snf LLC Skilled Nursing Facility 283 Lancaster Ave, Malvern, PA 19355-3089 2017-10-11
1548588668 Chester Valley Snf LLC Durable Medical Equipment & Medical Supplies 283 Lancaster Ave, Malvern, PA 19355-3089 2010-05-13
1801036900 Phml, LLC Skilled Nursing Facility 283 Lancaster Ave, Malvern, PA 19355-3089 2009-03-02

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City MALVERN
Zip Code 19355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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