Lisa Jean Gagne, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Lancaster, NH
NPI 1508876525 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508876525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 10302 (NH)
- Practice address
- 173 Middle St
DHMC-Pathology
Lancaster, NH 03584-3508 - Phone
- (603) 788-5310
- Fax
- (603) 788-3684
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 10302 | NH | Yes |
Addresses
Primary practice location
173 Middle St
DHMC-Pathology
Lancaster, NH 03584-3508
Mailing address
1 Medical Center Dr
Dartmouth-Hitchcock Medical Center
Lebanon, NH 03756-1000
Phone (603) 788-5310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30200257 | Medicaid | NH | |
| ORE5348 | Medicaid | VT |
Other providers in Lancaster, NH
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- Aaryn M Ford
- Taylor Ann Fortin
- Lindsey Catherine Foss
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- Genesis Rehab Services
- Nadine Lynn Gilcris
- Jennifer Michelle Hagan
- Stacey Hicks
All providers in Lancaster, NH · Anatomic Pathology & Clinical Pathology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.