Active NPIIndividual provider

Miss Andrea Lagasse, PA-C

Physician Assistant, Surgical in Manchester, Connecticut

NPI Number1124383112
Practice location
71 Haynes St, Manchester, CT 06040-4131
Fax
—
Last updated
November 25, 2014

Andrea Lagasse is a Physician Assistant, Surgical based in Manchester, CT. Andrea Lagasse practices in Manchester, CT and has the professional credentials of PA-C. The NPI Number for Andrea Lagasse is 1124383112 and holds a License No. 2766 (CT). The current practice location address for Andrea Lagasse is 71 Haynes St, Manchester, CT 06040-4131 and can be reached out via phone at 401-837-1018.

Provider Profile Details

NPI Number
1124383112
Provider Name
Andrea Lagasse
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
71 Haynes St, Manchester, CT 06040-4131
Phone Number
401-837-1018
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
July 6, 2012
Last Update Date
November 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Haynes St
Manchester, CT 06040-4131
Zip
06040-4131
Phone Number
401-837-1018
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
20 Greenmeadow Ln
Granby, MA 01033-9594
City
Granby
State
MA
Zip
01033-9594
Phone Number
401-837-1018

License Information

License Number
2766
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Andrea Lagasse, PA-C?

The NPI number of Miss Andrea Lagasse, PA-C is 1124383112. It was assigned on July 6, 2012 and is currently active in the NPPES registry.

What is the specialty of Miss Andrea Lagasse, PA-C?

Miss Andrea Lagasse, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 2766.

Where does Miss Andrea Lagasse, PA-C practice?

The practice location is 71 Haynes St, Manchester, CT 06040-4131. The office can be reached at 401-837-1018 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124383112 directly on the NPPES registry website.

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