Individual
LOUISA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
AMBULATORY PAVILION WEST AT THOCC, 100 GRAND STREET, NEW BRITAIN, CT 06050
(860) 224-5261
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 679-2147
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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