Healthcare Provider Details

I. General information

NPI: 1417196007
Provider Name (Legal Business Name): LANA MICHELLE FRIEDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LANA MICHELLE TOBIN MD

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

313 ASPEN GLEN DR
HAMDEN CT
06518-3788
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9000
  • Fax:
Mailing address:
  • Phone: 973-632-8078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number051072
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number51072
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: