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

Zachary Taylor Lagrue

Individual provider Physician Assistant · NPI 1972269629

Zachary Taylor Lagrue is a Physician Assistant in Pittston, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

1099 S Township Blvd
Pittston, PA 18640-3247
Phone: (570) 602-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 239 S Mountain Blvd Ste 100, Mountain Top, PA 18707-1911 — (570) 474-9300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA063181 (PA)

Record details

NPI number1972269629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2021
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Pittston