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Individual

MS. LAURIE-MARIE GAGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
87 MCGREGOR ST, SUITE 1400, MANCHESTER, NH 03102-3765
(603) 647-9325
(603) 647-2453
Mailing address
87 MCGREGOR ST, SUITE 1400, MANCHESTER, NH 03102-3765
(603) 647-9325
(603) 647-2453

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
017104-23
NH
367500000X
Certified Registered Nurse Anesthetist
196731
MA

Other

Enumeration date
10/04/2006
Last updated
02/04/2010
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