Individual
MAUREEN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 444-3366
(860) 442-0262
Mailing address
194 HOWARD ST, NEW LONDON, CT 06320
(860) 444-4739
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6432
CT
Other
Enumeration date
03/30/2016
Last updated
08/31/2017
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