Individual
MISS IWONA LACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
34 MAPLE ST, NORWALK HOSPITAL, NORWALK, CT 06850-3815
(203) 852-2025
Mailing address
40 PROSPECT AVE, BLD 1 APT 2C, NORWALK, CT 06850-3737
(203) 984-8265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052631
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
025631
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2010
Last updated
07/22/2014
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