Individual
LAUREN MARIE FREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 QUARRY RD, SUITE 250, TRUMBULL, CT 06611-4848
(203) 371-7048
(203) 371-7066
Mailing address
112 QUARRY RD, SUITE 250, TRUMBULL, CT 06611-4848
(203) 371-7048
(203) 371-7066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3255
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427446970
—
CT
Enumeration date
01/07/2015
Last updated
05/13/2015
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