Provider Information for 1417026048
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CATO T. LAURENCIN M.D.
Sex: Male
NPI: 1417026048
Last Updated: 2022-09-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417026048 | ||||||||||||||
| Enumeration Date | 2006-11-07 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 263 FARMINGTON AVE PROVIDER ENROLLMENT FARMINGTON, CT 06030-2212 United States Phone: 860-679-7503 | Fax:860-679-1610 | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE ORTHOPAEDIC SURGERY FARMINGTON, CT 06030-0001 United States Phone: 860-679-6600 | Fax:860-679-6604 | ||||||||||||||
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