# LAWRENCE AND MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence and Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073530879
- **Authorized official:** JACQUELINE WRINN (DIRECTOR)
- **Authorized official phone:** (203) 688-8411

## Contact information

- **Practice address:** 365 MONTAUK AVENUE, NEW LONDON, CT 06320
- **Practice address phone:** (860) 442-0711
- **Mailing address:** 365 MONTAUK AVE, NEW LONDON, CT 06320-4700
- **Mailing address phone:** (860) 442-0711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | 0047 | CT | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 11/06/2025