Individual
LACEY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
192 COBBLESTONE LN, MERIDEN, CT 06450-6742
(203) 246-5102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
128329
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
15028
CT
Other
Enumeration date
05/05/2025
Last updated
07/08/2025
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