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Individual

THERESA LAGGIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
7 MICHAEL DR, CLINTON, CT 06413-1068
(860) 227-5725

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6934
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6934
NURSE PRACTITIONER
CT
Enumeration date
02/08/2017
Last updated
04/22/2024
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