Individual ProviderHenry D LaganFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address124 N 6th St, Okeene, OK 73763(580) 822-4404PECOS EnrollmentBased on the most recent information from CMS, provider Henry D Lagan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1275577884Provider TypeIndividualFull NameLagan, Henry DCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/15/2006Last Updated1/22/2010Contact InformationPractice LocationPractice Address124 N 6th St, Okeene, OK 73763Phone(580) 822-4404Fax(580) 822-4403Mailing LocationMailing Address124 N 6th St, Okeene, OK 73763Phone(580) 822-4404Fax(580) 822-4403Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense8307OklahomaProvider IdentifiersIDDescriptionIssuerID731185962005DescriptionOtherIssuerBCBSOklahomaID100086890ADescriptionMedicaidIssuerUnlistedOklahomaIDP00258770DescriptionOtherIssuerRAILROOAD MEDICARE