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Mrs. Judy Lagrange, PT
Specialist in Fort Wayne, Indiana
NPI 1184711889

Judy Lagrange is a Specialist based in Auburn, IN. Judy Lagrange practices in Fort Wayne, IN and has the professional credentials of PT. The NPI Number for Judy Lagrange is 1184711889 and holds a License No. 05007944A (Indiana).

The current practice location address for Judy Lagrange is 1234 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-490-0940 and via fax at 260-490-5063.

Location: 1234 E Dupont Rd, Fort Wayne, IN, 46706-9307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184711889
Provider Name
Judy Lagrange
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1234 E Dupont Rd, Fort Wayne, IN, 46706-9307
Phone Number
260-490-0940
Fax Number
260-490-5063
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000346620 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
1234 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-1545
Phone Number
260-490-0940
Fax Number
260-490-5063
person
Provider Business Mailing Address Details
Address
1234 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-1545
Phone Number
260-490-0940
Fax Number
260-490-5063
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
05007944A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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