Individual
LAUREN BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8085
(860) 679-2792
(860) 679-8882
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 752-2856
(203) 752-8785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
006767
CT
Other
Enumeration date
10/20/2016
Last updated
05/14/2026
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