Organization
LAWRENCE AND MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WRINN (DIRECTOR)
(203) 688-8411
Entity
Organization
Contact information
Practice address
365 MONTAUK AVENUE, NEW LONDON, CT 06320
(860) 442-0711
Mailing address
365 MONTAUK AVENUE, NEW LONDON, CT 06320
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0047
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004024972
—
CT
05
—
004041679
—
CT
01
—
008
BLUE CROSS
CT
01
—
033921
HEALTHNET
—
05
—
092591800
—
FL
05
—
538520200
—
MN
05
—
7002688
—
MA
05
—
7201672
—
MA
01
—
9127
AETNA
—
01
—
946704
CONNECTICARE
—
05
—
97000007
—
NC
01
—
H04961
OXFORD
—
05
—
XHSP31514
—
CA
05
—
XHSP41514
—
CA
Enumeration date
12/21/2006
Last updated
12/02/2025
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