Individual
MRS. LAUREN WEST VALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
336 N MAIN ST STE A, WEST HARTFORD, CT 06117-2675
(860) 200-7701
Mailing address
336 N MAIN ST, WEST HARTFORD, CT 06117-2675
(860) 200-7701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4555
CT
Other
Enumeration date
05/27/2016
Last updated
10/06/2021
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