Individual
DR. KENDRA STOUT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 WILLARD AVE, PRIMARY CARE, FIRM 2, NEWINGTON, CT 06111-2631
(866) 808-7921
Mailing address
67 E MAXWELL DR, WEST HARTFORD, CT 06107-1435
(860) 655-9639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039642
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004179033
—
CT
Enumeration date
07/25/2006
Last updated
08/26/2025
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