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MS. LAURA E. WING NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1811246929

Individual Registrant:
MS. LAURA E. WING NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
250 FLAT ROCK PL 2ND FL WESTBROOK, CT 06498-1565 US
Tel: 860-358-3640  Fax: 860-358-8656

Contact information for business:
28 CRESCENT ST  MIDDLETOWN, CT 06457-3654 US
Tel: 860-358-4820  Fax: 860-358-8661

Registration Information:
NPI: 1811246929
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CT005099

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
008046499CT05




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