Healthcare Provider Details

I. General information

NPI: 1275553505
Provider Name (Legal Business Name): DR. KAREN LAUGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 IVY BROOK RD STE 213 SUITE 213
SHELTON CT
06484-6417
US

IV. Provider business mailing address

2 IVY BROOK RD SUITE 213
SHELTON CT
06484-6416
US

V. Phone/Fax

Practice location:
  • Phone: 203-538-5400
  • Fax: 203-538-5327
Mailing address:
  • Phone: 203-538-5400
  • Fax: 203-538-5327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number025223
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: