Individual
MS. ANDREA S LAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
350 MONTAUK AVE, NEW LONDON, CT 06320
(860) 443-1891
(860) 443-2980
Mailing address
350 MONTAUK AVE, NEW LONDON, CT 06320
(860) 443-1891
(860) 443-2980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003463
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
3463
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004265840
—
CT
Enumeration date
02/06/2007
Last updated
08/25/2023
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