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Individual

LARA T ONEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
357 HARTFORD TPKE, VERNON, CT 06066-4838
(860) 871-2102
(860) 870-0890
Mailing address
PO BOX 3249, VERNON, CT 06066-2149
(860) 872-2289

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003078
CT

Other

Enumeration date
09/26/2006
Last updated
07/08/2009
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