| Lalaine Mortera, MD | |
|
22 Old Waterbury Rd, Suite 204, Southbury, CT 06488-3848 | |
| (203) 262-4250 | |
| Not Available |
| Full Name | Lalaine Mortera |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 22 Old Waterbury Rd, Southbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275541781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 035458 (Connecticut) | Primary |
| Entity Name | Boston Children's Health Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Lalaine Mortera, MD 22 Old Waterbury Rd, Suite 204, Southbury, CT 06488-3848 Ph: (203) 262-4250 | Lalaine Mortera, MD 22 Old Waterbury Rd, Suite 204, Southbury, CT 06488-3848 Ph: (203) 262-4250 |
Susan Beris, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Old Waterbury Rd # 204, Southbury, CT 06488 Phone: 203-262-4250 | |
Dr. Joseph M Tuggle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 Charter Oak Rd, Southbury, CT 06488 Phone: 203-267-6644 Fax: 203-267-6646 | |
Dr. Diana M Lippi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 Charter Oak Rd, Southbury, CT 06488 Phone: 203-267-6644 Fax: 203-267-6646 |