| Doctor Name: | LAURIE MOIK SLOTNICK |
| NPI Number: | 1538154240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 030007 |
| Business Practice Address: | 11 Hospital Hill Rd Sharon, CT - 060692010 |
| Business Phone Number: | 8603642098 |
| Business Fax Number: | 8603645757 |
| Mailing Address: | Po Box 337, 11 Hospital Hill Rd SHARON |
| State: | CT |
| Postal Code: | 060690337 |
| Phone Number: | 8603642098 |
| Fax Number: | 8603645757 |
| NPI Enumeration Date: | 09/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/23/2006 |
| NPI Reactivation Date: | 03/31/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 030007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |