Jaime Andres Lagos
Allergist & Immunologist
98 Willow Ln
Spartanburg
, South Carolina 29307-1357
Jaime Andres Lagos
Allergist & Immunologist
98 Willow Ln
Spartanburg
, South Carolina 29307-1357
(828) 350-2174
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Jaime Andres Lagos
- Po Box 2405
- Skyland, NC
- Zip : 28776-2405
- Fax : (828) 350-2174
- Phone : (828) 575-2644
Second Address
- Jaime Andres Lagos
- 98 Willow Ln
- Spartanburg, SC
- Zip : 29307-1357
- Fax : (864) 597-0179
- Phone : (864) 585-5552
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 30260 | SC |
National Provider Identifier
| NPI | 1235321233 |
|---|---|
| Provider Name | Jaime Andres Lagos |
| First Address | Skyland, NC 28776-2405 |
| Second Address | Spartanburg, SC 29307-1357 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2007 |
| Last Update Date | 16/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 145W3 | BLUE CROSS BLUE SHIELD (01) | NC |
| 302602 | (05) | SC |
| AA23164292 | MEDICARE PTAN (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.