Provider Demographics
NPI:1326258815
Name:LAGONA, FRANCIS JOSEPH
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:LAGONA
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 1:90 CASTLETON PL
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-1402
Mailing Address - Country:US
Mailing Address - Phone:716-692-3830
Mailing Address - Fax:
Practice Address - Street 1:84 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-1642
Practice Address - Country:US
Practice Address - Phone:716-828-4761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000984OtherLMHC