LEE M HAGGENJOS — Medicare Enrolled Provider (PRACTITIONER - FAMILY PRACTICE, MN)
LEE M HAGGENJOS — Medicare Enrolled Provider (PRACTITIONER - FAMILY PRACTICE, MN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LEE M HAGGENJOS; Type: Individual; NPI: 1003207416.
| Name | LEE M HAGGENJOS |
|---|---|
| Type | Individual |
| NPI | 1003207416 |
| Provider type | PRACTITIONER - FAMILY PRACTICE |
| State | MN |
| Enrollment ID | I20180801002195 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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