Provider Demographics
NPI:1750859294
Name:LAGARDE, LEONARD III (LLP)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:
Last Name:LAGARDE
Suffix:III
Gender:M
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5946 BATTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OLIVET
Mailing Address - State:MI
Mailing Address - Zip Code:49076-9470
Mailing Address - Country:US
Mailing Address - Phone:334-703-4621
Mailing Address - Fax:
Practice Address - Street 1:523 W IONIA ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1085
Practice Address - Country:US
Practice Address - Phone:334-703-4621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301017706103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist