| Doctor Name: | MS. LAUREN CONNELLY |
| NPI Number: | 1194818823 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 001310 |
| Business Practice Address: | 20 Research Pkwy Old Saybrook, CT - 064754214 |
| Business Phone Number: | 8003703651 |
| Business Fax Number: | 8605100020 |
| Mailing Address: | 20 Research Pkwy, OLD SAYBROOK |
| State: | CT |
| Postal Code: | 064754214 |
| Phone Number: | 8003703651 |
| Fax Number: | 8605100020 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 06/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |