DR. LARRY LYNN HAGAN MD NPI 1053350751

NPI Information

NPI: 1053350751
Provider Name: DR. LARRY LYNN HAGAN, MD
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

Address:
1001 20TH ST
HUNTINGTON, WV
ZIP 25703
Phone: (304) 529-6100
Get Directions

DR. Larry Lynn Hagan, MD is an allergy allergy immunology in Huntington, WV. DR. Larry Lynn Hagan, MD NPI is 1053350751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 20TH ST
HUNTINGTON, WV
ZIP 25703-019
Phone: (304) 529-6100
Fax: (304) 529-0229

The enumeration date for this NPI number is 6/6/2006 and was last updated on 9/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	22558	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3810007713	MEDICAID	WEST VIRGINIA
2	L2725779	MEDICAID	OHIO
3	TR9263351	MEDICARE PIN	WEST VIRGINIA
4	P00368093	MEDICARE PIN	WEST VIRGINIA
5	I68547	MEDICARE UPIN	WEST VIRGINIA
6	CF8298	MEDICARE PIN	WEST VIRGINIA
7	5184	MEDICARE PIN	KENTUCKY
8	0518405	MEDICARE PIN	KENTUCKY
9	0011693000	MEDICAID	WEST VIRGINIA
10	HA4202081	MEDICARE PIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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