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Organization
LAFAYETTE PEDIATRICS LLC
Active
Organization
LAFAYETTE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL JADCZAK APRN (OWNER)
(860) 885-0666
Entity
Organization
Contact information
Practice address
36 LAFAYETTE ST, NORWICH, CT 06360-3408
(860) 885-0666
(860) 885-1158
Mailing address
36 LAFAYETTE ST, NORWICH, CT 06360-3408
(860) 885-0666
(860) 885-1158
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
NULL
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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