Individual
DR. LAUREN LACIVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
30 DANBURY RD, WILTON, CT 06897-4457
(203) 563-3500
Mailing address
1290 SILAS DEANE HIGHWAY, HHC - CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
282994
NY
207P00000X
Emergency Medicine Physician
5101019742
MI
207P00000X
Emergency Medicine Physician
Primary
55839
CT
Other
Enumeration date
05/08/2012
Last updated
12/17/2024
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