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Individual

DR. JOCK D LAWRASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 QUAKER FARMS RD STE 1, SOUTHBURY, CT 06488-2732
(203) 262-9300
(203) 264-2696
Mailing address
67 MAPLE AVE STE 301, DERBY, CT 06418-1328

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
021596
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001215961
CT
Enumeration date
02/13/2006
Last updated
01/03/2023
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