Alexandra Lagos, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

203156 Issued in MA

Practice address

72 Pleasant St
Wellesley, MA 02482-4649

Phone

(781) 431-1106

NPI assigned

May 17, 2006

Reactivated

Aug 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plymouth Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Plymouth, MA
  • NPI 1255300810

  Hematology

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1932151065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PLEASANT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PLEASANT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824649",
            "telephone_number": "781-431-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOS",
        "first_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-08-14",
        "deactivation_date": "2017-08-11",
        "reactivation_date": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "MA",
            "license": "203156",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "203156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Kwon, D.M.D.
• Kaitlyn Labberton, PT
• Rebecca Lauren Lach, MD, MPH
• Ellen Lacomis, MD
• Kyra Laffey
• Stephanie A Lam, CCC-SLP
• Lampert Medical PLLC
• Robert Todd Lancaster, M.D., M.P.H.
• Marlene Lane, M.S., CCC-A/ FAAA
• Emily Lange

• Anatomic Pathology & Clinical Pathology Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.