IndividualActive
Andrea Lagasse, PA-C
NPI 1124383112 · Surgical Physician Assistant · Manchester, CT
Provider details
- NPI number
- 1124383112
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2766 (CT)
Mailing address
20 Greenmeadow Ln
Granby, MA 01033-9594
Registry dates
- Enumerated
- 2012-07-06
- Last updated
- 2014-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.