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Individual
DR. LORI I GAGNON
Active
Individual
DR. LORI I GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184196701
—
TX
01
—
8W5070
BLUE CROSS BLUE SHIELD
TX
01
—
P00375637
RR MCR
TX
Enumeration date
08/29/2006
Last updated
01/24/2017
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