Individual provider · Type 1 NPI

Andrea Lagasse, PA-C

Surgical Physician Assistant · Manchester, CT

NPI number 1124383112 Active

Practice location

71 Haynes St
Manchester, CT 06040-4131

Call (401) 837-1018 Map

Mailing address

20 Greenmeadow Ln
Granby, MA 01033-9594

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2766 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1124383112

Andrea Lagasse, PA-C's National Provider Identifier is 1124383112, issued on Jul 6, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Manchester, CT. The record was last updated on Nov 25, 2014.