Lagrange Emergency Physicians, LLC

NPI #1760437560 in Lagrange, Georgia

Provider Information

NPI Number: 1760437560
Entity Type: Organization
Organization Name: Lagrange Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: May 23, 2006
Last Updated: Feb 5, 2020

Practice Location

Address: 1514 VERNON RD
City: Lagrange
State: Georgia
ZIP Code: 30240-4131
Phone: (706) 882-1411

Authorized Official

Name: KIM H LARSEN
Title: DIRECTOR OF CREDENTIALING
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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