Provider Demographics
NPI:1730632753
Name:LAGUERRE, CARL E (CRNP)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:E
Last Name:LAGUERRE
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:MD
Mailing Address - Zip Code:21770-0015
Mailing Address - Country:US
Mailing Address - Phone:240-347-2430
Mailing Address - Fax:949-695-4189
Practice Address - Street 1:8807 BRIARCLIFF LN
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5887
Practice Address - Country:US
Practice Address - Phone:240-347-2430
Practice Address - Fax:949-695-4189
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016382363LA2200X, 363LG0600X
MDR236570363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology