Doctor Name: | CATHY C LANOIE |
NPI Number: | 1285969857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 004212 |
Business Practice Address: | 464 Wolcott Rd Wolcott, CT - 067162626 |
Business Phone Number: | 2036334560 |
Business Fax Number: | 2038793566 |
Mailing Address: | 27 W Birch St, WATERBURY |
State: | CT |
Postal Code: | 067081884 |
Phone Number: | 2037557256 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2009 |
NPI Last Update Date: | 10/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 004212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |