| Dr Kendra Stout Lawrence, MD | |
|
555 Willard Ave, Primary Care, Firm 2, Newington, CT 06111-2631 | |
| (866) 808-7921 | |
| Not Available |
| Full Name | Dr Kendra Stout Lawrence |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 555 Willard Ave, Newington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861415762 | NPI | - | NPPES |
| 004179033 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 039642 (Connecticut) | Primary |
| Entity Name | Nova Physician Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093561136 PECOS PAC ID: 7810428166 Enrollment ID: O20240927001112 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kendra Stout Lawrence, MD 67 E Maxwell Dr, West Hartford, CT 06107-1435 Ph: (860) 655-9639 | Dr Kendra Stout Lawrence, MD 555 Willard Ave, Primary Care, Firm 2, Newington, CT 06111-2631 Ph: (866) 808-7921 |
Jeffrey Mark Kagan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Willard Ave, Suite 2-d, Newington, CT 06111 Phone: 860-665-1571 Fax: 860-667-3668 | |
Dr. Donald J Curran, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 860-594-6393 Fax: 860-667-6875 | |
Dr. Shahnaz Hussain, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 18 Cedar St, Newington, CT 06111 Phone: 860-667-1244 Fax: 860-666-5153 | |
Alla Turshudzhyan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 866-808-7921 | |
Zied Gaifer Ali, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 372 Cypress Rd, Newington, CT 06111 Phone: 703-919-7279 | |
Dr. Akhilesh Kumar Singh, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 860-666-6951 | |
Lisa O'donovan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 866-808-7921 |