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General NPI Number Information
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NPI Number | 1821152919
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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 | 12/21/2006
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Last Update Date | 11/04/2025
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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 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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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 0047
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License Number State | CT
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