person
Jill Lageman, PA-C
Medical Physician Assistant in New London, Connecticut
NPI 1609979830

Jill Lageman is a Medical Physician Assistant based in New London, CT and is specialized in Medical. Jill Lageman practices in New London, CT and has the professional credentials of PA-C. The NPI Number for Jill Lageman is 1609979830 and holds a License No. 000208 (Connecticut).

The current practice location address for Jill Lageman is 365 Montauk Ave, New London, CT and can be reached out via phone at 860-442-0711 and via fax at 860-271-4224.

Location: 365 Montauk Ave, New London, CT, 06320-4700
person
Provider Profile Details
NPI Number
1609979830
Provider Name
Jill Lageman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, New London, CT, 06320-4700
Phone Number
860-442-0711
Fax Number
860-271-4224
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06-0646704 01 TRICARE
4014679 05 CT
4024972 05 CT
institution
Provider Business Practice Location Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-442-0711
Fax Number
860-271-4224
person
Provider Business Mailing Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-442-0711
Fax Number
860-271-4224
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000208 (Connecticut)
Definition
Definition to come...
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