Individual
LAURA ERICKSON GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105
(860) 714-6654
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5591
CT
Other
Enumeration date
11/05/2013
Last updated
07/03/2018
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