Individual
MR. LEWIS GORDON HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
Mailing address
4B WOODVIEW DR, LEDYARD, CT 06339-1676
(860) 941-5944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9749
CT
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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