Individual
CATO T. LAURENCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, ORTHOPAEDIC SURGERY, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6604
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
046772
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
046772
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417026048
—
CT
Enumeration date
11/07/2006
Last updated
09/26/2022
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