Individual
LAUREN ALANA GILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 SEYMOUR AVE, DERBY, CT 06418-1332
(203) 732-7550
(203) 732-1550
Mailing address
248 SEYMOUR AVE, DERBY, CT 06418-1332
(203) 732-7550
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
129031
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.015007
CT
Other
Enumeration date
11/22/2023
Last updated
07/14/2025
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