Individual
LAURIE COSKER CAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, INTERNAL MEDICINE, FARMINGTON, CT 06030-6220
(860) 679-4477
(860) 679-4474
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048676
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669639860
—
CT
Enumeration date
05/16/2008
Last updated
11/07/2022
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