Individual provider · Type 1 NPI

Jill Lageman, PA-C

Medical Physician Assistant · New London, CT

NPI number 1609979830 Active

Practice location

365 Montauk Ave
New London, CT 06320-4700

Fax (860) 271-4224

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000208 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1609979830

Jill Lageman, PA-C's National Provider Identifier is 1609979830, issued on Sep 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New London, CT. The record was last updated on Jan 30, 2015.