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Individual

DR. LAURIE ANN BAIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
357 HARTFORD TPKE, VERNON, CT 06066-4838
(860) 871-9441
(860) 871-0227
Mailing address
357 HARTFORD TPKE, VERNON, CT 06066-4838
(860) 871-9441
(860) 871-0227

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
028806
CT

Other

Enumeration date
06/27/2005
Last updated
07/08/2007
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