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Contact Information

ANDREA S LAUTER, APRN
350 MONTAUK AVE
NEW LONDON, CT06320
 Phone: 860-443-1891
 Fax: 860-443-2980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANDREA S LAUTER · (Female)

NPI # 1457490070
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/06/2007
Last updated 08/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003463
  • CT License # 3463
  • CT Medicaid 004265840
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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