Provider Demographics
NPI:1942246236
Name:LAGO, ARGIMIRO D (MD)
Entity Type:Individual
Prefix:DR
First Name:ARGIMIRO
Middle Name:D
Last Name:LAGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6464 OAKLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2662
Mailing Address - Country:US
Mailing Address - Phone:504-273-5943
Mailing Address - Fax:504-455-2269
Practice Address - Street 1:4420 CONLIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2167
Practice Address - Country:US
Practice Address - Phone:504-455-8887
Practice Address - Fax:504-455-2269
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA009139208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1096245Medicaid