Individual
LAUREN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
428 HARFORD TURNPIKE, VERNON, CT 06066
(860) 871-7374
Mailing address
275 WINCHESTER AVE, APT 121, NEW HAVEN, CT 06511-1987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
055266
CT
207VX0000X
Obstetrics Physician
MT-202043
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2012
Last updated
11/01/2021
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