Individual
NICOLE MARIE LAGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-6230
Mailing address
12160 CRYSTAL RIDGE WAY, PORTER RANCH, CA 91326-3800
(818) 274-7357
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3578
CT
Other
Enumeration date
06/28/2016
Last updated
12/03/2025
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