Individual
KAITLYN GYEHYUN LEMIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 ENFIELD ST, ENFIELD, CT 06082
(860) 741-3014
Mailing address
155 WINDERMERE AVE UNIT 2105, ELLINGTON, CT 06029-5825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
104108
CT
363LF0000X
Family Nurse Practitioner
Primary
7694
CT
Other
Enumeration date
06/18/2018
Last updated
07/18/2018
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