Provider Demographics
NPI:1417261124
Name:LAGANA, GAIL (APRN)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:LAGANA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 CROMWELL AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1852
Mailing Address - Country:US
Mailing Address - Phone:860-529-1287
Mailing Address - Fax:860-721-6311
Practice Address - Street 1:506 CROMWELL AVE
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1852
Practice Address - Country:US
Practice Address - Phone:860-529-1287
Practice Address - Fax:860-721-6311
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004425363L00000X, 363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily