NPI 1174015168
Lane M Lagattuta, DO
Practice location
- Address
- 5000 S 5th Ave, Hines, IL 60141-3030
- Phone
- (708) 202-2282
- Fax
- (708) 202-2281
- Mailing address
- 3249 Oak Park Ave, Berwyn, IL 60402-3429
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Sports Medicine (Family Medicine) Physician
Registry record
- NPI
- 1174015168
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jun 2018
- Record last updated
- 29 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.