Provider Demographics
NPI:1407839947
Name:LAGRANGE, LLOYD CECIL JR (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:CECIL
Last Name:LAGRANGE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4960 SW 72ND AVE
Mailing Address - Street 2:SUITE 406
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5544
Mailing Address - Country:US
Mailing Address - Phone:305-662-5200
Mailing Address - Fax:305-284-7948
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE 6800
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-832-0183
Practice Address - Fax:561-832-7955
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2008-01-16
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Provider Licenses
StateLicense IDTaxonomies
FLME54447207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10268CMedicare ID - Type Unspecified
FLB64907Medicare UPIN