Provider Demographics
NPI:1609988054
Name:LAGUS, ARNE T (MD)
Entity Type:Individual
Prefix:
First Name:ARNE
Middle Name:T
Last Name:LAGUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:235 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CROIX FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54024-4117
Mailing Address - Country:US
Mailing Address - Phone:715-483-3221
Mailing Address - Fax:715-483-0507
Practice Address - Street 1:235 E STATE ST
Practice Address - Street 2:
Practice Address - City:SAINT CROIX FALLS
Practice Address - State:WI
Practice Address - Zip Code:54024-4117
Practice Address - Country:US
Practice Address - Phone:715-483-3221
Practice Address - Fax:715-483-0507
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI15883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0106277OtherMEDICA
MN27G40LAOtherBLUE CROSS MN FACILITY
WI31161300Medicaid
NA9030224009OtherPREFERREDONE
MN294270400Medicaid
HP10834OtherHEALTHPARTNERS
080099996OtherRAILROAD
MN64Q31LAOtherBLUE CROSS MN PRO FEE