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General NPI Number Information
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NPI Number | 1073530879
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Entity Type | Organization
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Legal Business Name | LAWRENCE AND MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 365 MONTAUK AVENUE
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City | NEW LONDON
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State | CT
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Zip | 06320
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Country | US
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Telephone | 860-442-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 365 MONTAUK AVE
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City | NEW LONDON
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State | CT
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Zip | 06320-4700
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Country | US
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Telephone | 860-442-0711
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JACQUELINE WRINN
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Credential |
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Telephone | 203-688-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0047
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License Number State | CT
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