Provider Information for 1669639860
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LAURIE COSKER CAINES MD
Other Names:Former Name:LAURIE MICHELLE COSKERSex: Female
NPI: 1669639860
Last Updated: 2022-11-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1669639860 | ||||||||||||||
| Enumeration Date | 2008-05-16 | ||||||||||||||
| 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 INTERNAL MEDICINE FARMINGTON, CT 06030-6220 United States Phone: 860-679-4477 | Fax:860-679-4474 | ||||||||||||||
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