Dr. Misty Dawn Lagasse, D.C.
Chiropractor in Port Orange, FL. Individual provider (NPI-1).
NPI number1457677635
StatusActive
Last updated in NPPESMay 28, 2013
Details
- NPI
- 1457677635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Misty Dawn Lagasse
- Credential
- D.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2010
- Last updated
- May 28, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH10209 | FL | Yes |
Practice location
4705 S Clyde Morris BlvdPort Orange, FL 32129-4103
Phone 386-763-2718 · Fax 386-763-2719
Mailing address
14 Lisbon StSt Augustine, FL 32080-9715
Phone 904-679-2150
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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