Individual
MRS. LAURA LEE GAVLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36 SOUTH RD STE B, SOMERS, CT 06071-2158
(860) 265-3327
Mailing address
36 SOUTH RD STE B, SOMERS, CT 06071-2158
(860) 265-3327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112687
CT
Other
Enumeration date
04/24/2022
Last updated
10/27/2023
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