Individual
SONYA J LAGASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 102, FORT WAYNE, IN 46845-1707
(260) 425-5420
(260) 425-5245
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28201894A
IN
363L00000X
Nurse Practitioner
Primary
71007074A
IN
Other
Enumeration date
02/28/2017
Last updated
02/03/2025
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