Gagnon, Lisa Marie

Gagnon, Lisa Marie is an individual health care provider with primary practice located at 230 Boston Post Rd , Madison CT 06443-2225. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gagnon, Lisa Marie can be contacted via phone (203) 245-0496.

Contact Information

Primary practice address
230 Boston Post Rd Madison CT 06443-2225
Phone: (203) 245-0496
Fax: (203) 245-8697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 002510 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002510 Connecticut

Profile Details

NPI number 1417926957
LBN Legal business name Gagnon, Lisa Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 9th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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