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Individual

LAUREN HART NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
250 FLAT ROCK PL, 2ND FL, WESTBROOK, CT 06498-1565
(860) 358-3640
(860) 358-8656
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002300
CT
363AM0700X
Medical Physician Assistant
PA3863
MA

Other

Enumeration date
09/18/2009
Last updated
04/24/2017
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