Individual
LAURIE SCHEDGICK-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 FEDERAL RD, BROOKFIELD, CT 06804-2037
(203) 775-6365
(203) 740-3010
Mailing address
401 FEDERAL RD, BROOKFIELD, CT 06804-2037
(203) 775-6365
(203) 740-3010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043256
CT
207R00000X
Internal Medicine Physician
238204
NY
208000000X
Pediatrics Physician
043256
CT
208000000X
Pediatrics Physician
238204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432567
—
CT
Enumeration date
01/11/2006
Last updated
05/27/2020
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