Individual
LAWRENCE OGWENO OLALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 789-7100
Mailing address
89 FLORENCE RD, BRANFORD, CT 06405-4246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4370
CT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/26/2018
Last updated
01/28/2019
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