Individual
LAZAROS YIANNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06050
(860) 224-5671
Mailing address
100 GRAND ST, NEW BRITAIN, CT 06050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56298
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2014
Last updated
05/12/2017
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