Lawrence, Eileen M
Lawrence, Eileen M is an individual health care provider with primary practice located at 162 E Main St , Clinton CT 06413-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Lawrence, Eileen M can be contacted via phone (860) 669-7272.Contact Information
Primary practice address
162 E Main St
Clinton CT 06413-2116
Phone: (860) 669-7272
Fax: (860) 669-3337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 036800 | Connecticut |
Profile Details
| NPI number | 1427038181 |
|---|---|
| LBN Legal business name | Lawrence, Eileen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427038181 | NPPES |
| Connecticut | MEDICAID | 001368001 |
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