Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES W LAGOSKI, DO
ActiveDR. CHARLES W LAGOSKI, DO is a Geriatric Medicine healthcare provider located in PEORIA, Illinois. NPI 1164479424 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1164479424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2006 (20.227139254282 yrs)
- Last Updated
- Oct 17, 2016
- Licenses
-
036060508 (IL)036060508 (IL)
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616360001Browse IL providers · Browse ZIP 61636
- Phone
- 3096248818
- Fax
- 3096248820
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Geriatric Medicine
Other Geriatric Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| GREGORY L JOHNSON | M.D. | 1417922857 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.