Provider Demographics
NPI:1902451198
Name:LAGSTEIN, ODED (MD)
Entity Type:Individual
Prefix:DR
First Name:ODED
Middle Name:
Last Name:LAGSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SAINT PAUL ST APT 1213
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2287
Mailing Address - Country:US
Mailing Address - Phone:443-682-3489
Mailing Address - Fax:
Practice Address - Street 1:501 SAINT PAUL ST APT 1213
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2287
Practice Address - Country:US
Practice Address - Phone:443-682-3489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program