Individual
LENORE ANN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
420 SAYBROOK RD STE A, MIDDLETOWN, CT 06457-4747
(860) 636-2010
(860) 636-2045
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
335154
NY
363LF0000X
Family Nurse Practitioner
Primary
9883
CT
Other
Enumeration date
05/20/2007
Last updated
01/27/2022
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