Individual
MS. LAURA R SIEVERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
676 HEBRON AVE, GLASTONBURY, CT 06033-2410
(860) 696-2250
Mailing address
25 SOMERS HILL CIR, SOMERS, CT 06071-1928
(860) 763-0349
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AP1681
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310097
—
MA
01
—
MS0528084J
CSR
MA
Enumeration date
04/19/2006
Last updated
03/07/2023
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