Provider Demographics
NPI:1770785768
Name:LAGUNA, LOUIS B (PHD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:B
Last Name:LAGUNA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CLEONA
Mailing Address - State:PA
Mailing Address - Zip Code:17042-3243
Mailing Address - Country:US
Mailing Address - Phone:717-319-2607
Mailing Address - Fax:717-270-0490
Practice Address - Street 1:15 N FRONT ST
Practice Address - Street 2:
Practice Address - City:STEELTON
Practice Address - State:PA
Practice Address - Zip Code:17113-2367
Practice Address - Country:US
Practice Address - Phone:717-319-2607
Practice Address - Fax:717-270-0490
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008973L103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic