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Individual
LAUREL A GAY
Active
Individual
LAUREL A GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000267
CT
363A00000X
Physician Assistant
Primary
PA2493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001226216
—
CT
01
—
00122621600
EDS BLUE CARE
—
01
—
100267
CT
—
01
—
290000267CT
ANTHEM
—
01
—
2V0054
HEALTH NET
—
01
—
P3212169
OXFORD
—
Enumeration date
08/18/2006
Last updated
04/22/2014
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