Individual
DAVID ROBERT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 NEW HARTFORD RD, WINSTED, CT 06098
(860) 738-3398
(860) 738-2267
Mailing address
200 NEW HARTFORD RD, WINSTED, CT 06098
(860) 738-3398
(860) 738-2267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001313254
—
CT
01
—
00131325401
BLUE CARE FAMILY PLAN
—
01
—
010031325CT01
BLUE CROSS BLUE SHIELD
—
01
—
031325
CONNECTICARE
—
01
—
2109164
AETNA US HEALTHCARE
—
01
—
4381225
AETNA
—
01
—
936922
PHS ACCESS #
—
01
—
AS39958730001
CIGNA
—
01
—
OV5198
PHS
—
Enumeration date
07/31/2006
Last updated
09/16/2008
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