SAMANTHA L LAGACE

THETA DERMATOLOGY PC

Dr SAMANTHA L LAGACE is a female medical professional, specializing in Physician Assistant. She graduated in 2008.

Contact

THETA DERMATOLOGY PC

2508 WESTERN AVE
ALTAMONT
NY
120099485

Tel: 5186900177

SAMANTHA L LAGACE Information

Npi 1790073724
Pac Id 4789856675
Professional Enrollment Id I20111019000528
Last Name LAGACE
First Name SAMANTHA
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THETA DERMATOLOGY PC
Group Practice Pac Id 9638430846
Number Of Group Practice Members 8
Line 1 Street Address 2508 WESTERN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALTAMONT
State NY
Zip Code 120099485
Phone Number 5186900177
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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