Individual
LAUREN CULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-2615
(203) 688-4740
Mailing address
305 GEORGE ST APT 4D, NEW HAVEN, CT 06511-6682
(919) 412-1915
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4377
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4377
CT DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
01/31/2019
Last updated
02/12/2019
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