Individual
LAURA R MENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH CHILDREN'S HOSPITAL - WP-2, NEW HAVEN, CT 06510-3220
(203) 785-4081
(203) 785-3833
Mailing address
20 YORK ST, YNHH CHILDREN'S HOSPITAL - WP-2, NEW HAVEN, CT 06510-3220
(203) 785-4081
(203) 785-3833
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
021081
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001210814
—
CT
Enumeration date
11/22/2005
Last updated
03/16/2011
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