Individual
LAURA MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-2792
(860) 679-1494
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-2792
(860) 679-1494
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
007053
CT
363LW0102X
Women's Health Nurse Practitioner
Primary
007053
CT
Other
Enumeration date
12/20/2012
Last updated
01/29/2024
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