Provider Demographics
NPI:1174212823
Name:BIAGAS, DENA K (MED, CPCO, CMBP)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:K
Last Name:BIAGAS
Suffix:
Gender:F
Credentials:MED, CPCO, CMBP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W LAGRANGE ST APT 13
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605
Mailing Address - Country:US
Mailing Address - Phone:337-249-0036
Mailing Address - Fax:337-393-6156
Practice Address - Street 1:114 W LAGRANGE ST APT 13
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605
Practice Address - Country:US
Practice Address - Phone:337-249-0036
Practice Address - Fax:337-393-6156
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor