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Jordan Lagrone

NPI 1518603034 · on the registry since 2022 · sole proprietor

Practice

Address
1024 E 16th Ave
Cordele, GA 31015
Phone
(229) 273-5043
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia