Provider Demographics
NPI:1922771088
Name:LALGEE, JEVAN CHRISTOPHER (HIS)
Entity Type:Individual
Prefix:MR
First Name:JEVAN
Middle Name:CHRISTOPHER
Last Name:LALGEE
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 GREEN BAY RD STE 113
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-1451
Mailing Address - Country:US
Mailing Address - Phone:262-577-5577
Mailing Address - Fax:262-577-5511
Practice Address - Street 1:6804 GREEN BAY RD STE 113
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-1451
Practice Address - Country:US
Practice Address - Phone:262-577-5577
Practice Address - Fax:262-577-5511
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1632-060237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist