Provider Demographics
NPI:1275248254
Name:LAGMAN, FREDERICK C
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:C
Last Name:LAGMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6740 LOON HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1081
Mailing Address - Country:US
Mailing Address - Phone:734-221-5744
Mailing Address - Fax:
Practice Address - Street 1:6740 LOON HOLLOW CT
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1081
Practice Address - Country:US
Practice Address - Phone:734-516-9187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)