Individual provider · Type 1 NPI

Lavina Jacob Gagnon, PA-C

Physician Assistant · Hartford, CT

NPI number 1962557207 Active

Practice location

85 Seymour St, Suite 900
Hartford, CT 06106-5501

Fax (860) 525-7881

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X011516 (NY)
Physician Assistant Primary 363A00000X011516 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962557207

Lavina Jacob Gagnon, PA-C's National Provider Identifier is 1962557207, issued on Jan 25, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hartford, CT. The record was last updated on Dec 18, 2011.