Organization
LAWRENCE AND MEMORIAL HOSPITAL, INC.
Active
Other names
Lawrence and Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WRINN (DIRECTOR)
(203) 688-8411
Entity
Organization
Contact information
Practice address
365 MONTAUK AVENUE, NEW LONDON, CT 06320
(860) 442-0711
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
Primary
0047
CT
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004024972
—
CT
05
—
004041679
—
CT
01
—
008
CT BLUE CROSS
CT
01
—
033921
HEALTHNET
—
05
—
092591800
—
FL
05
—
538520200
—
MN
05
—
7002688
—
MA
05
—
7201672
—
MA
01
—
9127
AETNA
—
01
—
946704
CONNECTICARE
—
05
—
97000007
—
NC
01
—
H04961
OXFORD
—
05
—
XHSP31514
—
CA
05
—
XHSP41514
—
CA
Enumeration date
07/16/2006
Last updated
11/06/2025
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