JILL LAGEMAN PA-C NPI 1609979830

NPI Information

NPI: 1609979830
Provider Name: JILL LAGEMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
Phone: (860) 442-0711
Get Directions

Jill Lageman, PA-C is a medical physician assistant in New London, CT. Jill Lageman, PA-C NPI is 1609979830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320-700
Phone: (860) 442-0711
Fax: (860) 271-4224

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	000208	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4024972	MEDICAID	CONNECTICUT
2	4014679	MEDICAID	CONNECTICUT
3	06-0646704	OTHER		TRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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