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1104055417
LAWRENCE JAMES HAGERMAN
CROWN POINT, IN
NPI
1104055417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: IN 01025287A)
Enumeration Date
2009-07-08
Last Update Date
2009-07-08
Business Address
DR. LAWRENCE JAMES HAGERMAN MD
419 E GREENWOOD AVE
CROWN POINT, IN 46307-4532
Phone number: 219-663-5163
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Mailing Address
DR. LAWRENCE JAMES HAGERMAN MD
419 E GREENWOOD AVE
CROWN POINT, IN 46307-4532
Phone number: 219-663-5163
Copy