Provider Demographics
NPI:1164625695
Name:LAGASSE, MELANIE R (BS)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:R
Last Name:LAGASSE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:WEST BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01885
Mailing Address - Country:US
Mailing Address - Phone:978-457-6119
Mailing Address - Fax:
Practice Address - Street 1:148 WARREN ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-2208
Practice Address - Country:US
Practice Address - Phone:978-452-1736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist