Provider Demographics
NPI:1902531346
Name:LAGOY, PENNY ANN
Entity Type:Individual
Prefix:MS
First Name:PENNY
Middle Name:ANN
Last Name:LAGOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 JOHN MUNN RD
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-1341
Mailing Address - Country:US
Mailing Address - Phone:518-891-5353
Mailing Address - Fax:518-891-7361
Practice Address - Street 1:50 JOHN MUNN RD
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1341
Practice Address - Country:US
Practice Address - Phone:518-891-5353
Practice Address - Fax:518-891-7361
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator