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Individual

JOHN LAGASSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
273 COUNTY RD, NEW LONDON, NH 03257-5736
(603) 526-5210
Mailing address
273 COUNTY RD, NEW LONDON, NH 03257-5736
(603) 526-5210

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
065326-21
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568502276
NH
Enumeration date
04/20/2014
Last updated
04/20/2014
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