Individual
MRS. JACQUELINE LAGASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
196 PARKWAY S, SUITE 303, WATERFORD, CT 06385-1234
(860) 443-4455
(860) 447-8961
Mailing address
196 PARKWAY S 304, WATERFORD, CT 06385-1234
(860) 442-7027
(860) 437-2236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111731
CT
363LF0000X
Family Nurse Practitioner
Primary
5757
CT
Other
Enumeration date
06/19/2014
Last updated
11/20/2015
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