Individual
LAUREN KATHERINE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-2467
(203) 785-5936
Mailing address
9 MANISTEE LN, EAST ISLIP, NY 11730-2607
(631) 220-0782
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000600
CT
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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