Provider Demographics
NPI:1811354327
Name:LAGUERRE, CHARLINE LOLO (ARNP)
Entity type:Individual
Prefix:
First Name:CHARLINE
Middle Name:LOLO
Last Name:LAGUERRE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 LOOMIS LN
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-5800
Mailing Address - Country:US
Mailing Address - Phone:561-889-3367
Mailing Address - Fax:802-419-5115
Practice Address - Street 1:68 LOOMIS LN
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-5800
Practice Address - Country:US
Practice Address - Phone:561-889-3367
Practice Address - Fax:802-881-2434
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9328389363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily