Individual
NATALIE A LOURENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
135 COLLEGE ST, STE 323, NEW HAVEN, CT 06510-2483
(203) 687-6626
(203) 737-4051
Mailing address
PO BOX 7720, NEW HAVEN, CT 06519-0720
(203) 687-6626
(203) 737-4051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001186
CT
Other
Enumeration date
01/23/2008
Last updated
10/12/2018
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