Individual
CAROL LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
12773
CT
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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