Provider Demographics
NPI:1194696039
Name:HAGGINS, LAMONTEE JR
Entity type:Individual
Prefix:
First Name:LAMONTEE
Middle Name:
Last Name:HAGGINS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7472 LINDBROOK CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1187
Mailing Address - Country:US
Mailing Address - Phone:614-620-6144
Mailing Address - Fax:
Practice Address - Street 1:7472 LINDBROOK CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1187
Practice Address - Country:US
Practice Address - Phone:614-620-6144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide