Individual
NICOLE NORELL LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000633
CT
Other
Enumeration date
10/24/2008
Last updated
03/29/2017
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