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NPI Code Detail

MEDICARE: LASHA LAGGIS PSYD.

MEDICARE: LASHA LAGGIS PSYD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist3551CT
2103G00000XClinical Neuropsychologist3551CT

General Provider Information

NPI Number : 1235682386
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHA LAGGIS PSYD.
Provider Business Mailing Address
First Line : 100 DEERFIELD RD
Second Line :
City : WINDSOR
State : CT
Zip : 06095-4252
Country : US
Telephone Number : 860-270-0600
Fax Number :
Provider Business Practice Location Address
First Line : 100 DEERFIELD RD
Second Line :
City : WINDSOR
State : CT
Zip : 06095-4252
Country : US
Telephone Number : 860-270-0600
Fax Number : 860-748-4432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 01/07/2026

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Directions to “ LASHA LAGGIS PSYD.” Practice Location

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