Individual
LAURA PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-3766
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5110
CT
363AS0400X
Surgical Physician Assistant
5110
CT
Other
Enumeration date
12/28/2020
Last updated
05/17/2022
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