| NPI | 1083748214 |
|---|---|
| Other Name | PATRICK LYNN GAGNON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 000894) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-02-26 |