Individual
LAUREN GRONBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2188
Mailing address
3037 WHITE PINE DR, GIBSONIA, PA 15044-6123
(412) 848-8745
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23.005805
CT
Other
Enumeration date
06/23/2022
Last updated
09/17/2022
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