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Individual

MISS ANDREA LAGASSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(401) 837-1018
Mailing address
20 GREENMEADOW LN, GRANBY, MA 01033-9594
(401) 837-1018

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2766
CT

Other

Enumeration date
07/06/2012
Last updated
11/25/2014
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