| Lara A. Colabelli, DO, PLLC | |
|
5 Pequot Park Rd Ste 201a Westbrook CT 06498-2856 | |
| (475) 317-4403 | |
| Not Available |
| Full Name | Lara A. Colabelli, DO, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Pequot Park Rd Ste 201a, Westbrook, Connecticut |
| Authorized Official Name and Position | Lara Colabelli (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4753174403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara A. Colabelli, DO, PLLC 5 Pequot Park Rd Ste 201a Westbrook CT 06498-2856 Ph: (475) 317-4403 | Lara A. Colabelli, DO, PLLC 5 Pequot Park Rd Ste 201a Westbrook CT 06498-2856 Ph: (475) 317-4403 |
| NPI Number | 1962223693 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 8527569482 |
|---|---|
| Medicare Enrollment ID | O20250902000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962223693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Lara Colabelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407054844 PECOS PAC ID: 4385794833 Enrollment ID: I20090604000278 |
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