Individual provider · Type 1 NPI
John Demetrios Lagoutaris, D.P.M.
Foot Surgery Podiatrist · St. Augustine, FL
NPI number
1780690867
Active
Practice location
300 Kingsley Lake Dr, Ste. 402
St. Augustine, FL 32092-3037
Fax (904) 779-4964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | PO 3240 (FL) |
Foot Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot surgery podiatrist providers in St. Augustine
About NPI 1780690867
John Demetrios Lagoutaris, D.P.M.'s National Provider Identifier is 1780690867, issued on Jul 31, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 10, 2015.