Provider Demographics
NPI:1669446209
Name:LAGUSIS, CATHERINE MELISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MELISSA
Last Name:LAGUSIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 MUIR RD
Mailing Address - Street 2:NORTHERN CALIFORNIA HEALTH CARE SYSTEM, VA
Mailing Address - City:MARTINEZ,
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4668
Mailing Address - Country:US
Mailing Address - Phone:925-372-2131
Mailing Address - Fax:925-372-2017
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:181
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69590207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine