Individual
LISA JEAN GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
173 MIDDLE ST, DHMC-PATHOLOGY, LANCASTER, NH 03584-3508
(603) 788-5310
(603) 788-3684
Mailing address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK MEDICAL CENTER, LEBANON, NH 03756-1000
(603) 788-5310
(603) 788-3684
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10302
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30200257
—
NH
05
—
ORE5348
—
VT
Enumeration date
08/09/2006
Last updated
07/08/2007
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