Provider Demographics
NPI:1336324193
Name:LAGUERRE, PATRICK JACQUES (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JACQUES
Last Name:LAGUERRE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:146 MEDICAL PARK ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8529
Mailing Address - Country:US
Mailing Address - Phone:704-662-0877
Mailing Address - Fax:704-662-0875
Practice Address - Street 1:146 MEDICAL PARK ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8529
Practice Address - Country:US
Practice Address - Phone:704-662-0877
Practice Address - Fax:704-662-0875
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-29
Last Update Date:2020-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC127572208VP0000X, 208VP0014X
NC2009-00660207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2075877Medicare PIN