Healthcare Provider Details

I. General information

NPI: 1891890661
Provider Name (Legal Business Name): DEBRA LAMAR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SEYMOUR ST SUITE 1019
HARTFORD CT
06106-5501
US

IV. Provider business mailing address

PO BOX 587
ROCKY HILL CT
06067-0587
US

V. Phone/Fax

Practice location:
  • Phone: 860-246-4029
  • Fax: 860-240-7072
Mailing address:
  • Phone: 860-258-3480
  • Fax: 860-571-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number003266
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number003266
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: