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NPI Code Detail

MEDICARE: LONNA LAGASSE B.S.

MEDICARE: LONNA LAGASSE B.S.
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1841857844
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONNA LAGASSE B.S.
Provider Business Mailing Address
First Line : 545 WESTMINSTER ST
Second Line :
City : FITCHBURG
State : MA
Zip : 01420-4766
Country : US
Telephone Number : 978-829-2260
Fax Number : 978-829-2210
Provider Business Practice Location Address
First Line : 545 WESTMINSTER ST
Second Line :
City : FITCHBURG
State : MA
Zip : 01420-4766
Country : US
Telephone Number : 978-829-2260
Fax Number : 978-829-2210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2019
Last Update Date : 05/24/2019

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Directions to “ LONNA LAGASSE B.S.” Practice Location

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