Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Gagne

Individual provider Physician Assistant · NPI 1588049183

Lisa Gagne is a Physician Assistant in Boston, Massachusetts. Qualified in 2015, 11 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

450 Brookline Ave
Boston, MA 02215-5418
Phone: (978) 877-0136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6106 — (617) 732-5500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5553 (MA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588049183
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2015
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022
Mailing address162 Duck Pond Dr, Groton, MA 01450-2252

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dana-Farber Cancer Institute, Inc. — 668 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Boston