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LAFAYETTE PEDIATRICS LLC NPI 1598351421


NPI Information

NPI: 1598351421
Provider Name: LAFAYETTE PEDIATRICS LLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 07D2206455

Address:
36 LAFAYETTE ST
NORWICH, CT
ZIP 06360
Phone: (860) 885-0666
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LAFAYETTE PEDIATRICS LLC is a pediatrics nurse practitioner in Norwich, CT. LAFAYETTE PEDIATRICS LLC NPI is 1598351421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36 LAFAYETTE ST
NORWICH, CT
ZIP 06360-408
Phone: (860) 885-0666
Fax: (860) 885-1158

The provider's authorized official is Rachel Jadczak .
The authorized official title is Owner and has the following contact phone number (860) 885-0666.

The CLIA number assigned to this NPI record is 07D2206455 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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