Individual
LACRETIA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 TOWNSEND AVE, NEW HAVEN, CT 06512-1954
(203) 710-2779
Mailing address
184 LIBERTY ST, NEW HAVEN, CT 06519-1625
(203) 214-1924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10299
CT
Other
Enumeration date
04/12/2022
Last updated
03/11/2023
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