LAWRENCE AND MEMORIAL HOSPITAL, INC. (NPI# 1073530879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073530879 |
| Entity Type | Organization |
| Organization Name | LAWRENCE AND MEMORIAL HOSPITAL, INC. |
| Practice Address |
365 Montauk Avenue New London CT 06320 |
| Practice Telephone | 8604420711 |
| Mailing Telephone | 8604420711 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | MARY G MESSINA (SR REGULATORY REIMBURSEMENT MGR) |
| Authorized Official Telephone | 2036888543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0047 | CT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD | H04961 | 01 | |
| CT | CT BLUE CROSS | 008 | 01 |
| MN | 538520200 | 05 | |
| CT | 004024972 | 05 | |
| CA | XHSP41514 | 05 | |
| NC | 97000007 | 05 | |
| CA | XHSP31514 | 05 | |
| MA | 7201672 | 05 | |
| AETNA | 9127 | 01 | |
| HEALTHNET | 033921 | 01 | |
| MA | 7002688 | 05 | |
| CT | 004041679 | 05 | |
| CONNECTICARE | 946704 | 01 | |
| FL | 092591800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1700092459 | Lawrence and Memorial Hospital, Inc. | General Acute Care Hospital | 365 Montauk Ave, New London, CT 06320-4700 | 2007-05-16 |
| 1780748871 | Lawrence and Memorial Hospital, Inc. | Rehabilitation Unit | 365 Montauk Avenue, New London, CT 06320 | 2006-12-21 |
| 1821152919 | Lawrence and Memorial Hospital, Inc. | Psychiatric Unit | 365 Montauk Avenue, New London, CT 06320 | 2006-12-21 |
| Street Address |
365 MONTAUK AVENUE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912944695 | Faruk Soydan | Radiology | 365 Montauk Avenue, New London, CT 06320 | 2006-06-01 |
| 1932463460 | Paul Nicolosi | Physician Assistant | 365 Montauk Avenue, Lawrence Memorial Hospital, New London, CT 06320 | 2012-06-29 |
| 1720371818 | Timothy Tran | Urology | 365 Montauk Avenue, Faire Harbour Building, 2nd Fl, Suite 2.013, New London, CT 06320 | 2011-05-23 |
| 1275843633 | Alan H Lozano | Physician Assistant | 365 Montauk Avenue, New London, CT 06320 | 2010-10-19 |
| 1740453695 | Christopher Jason Smith | Physical Therapist | 365 Montauk Avenue, Lawrence and Memorial Hospital, New London, CT 06320 | 2008-04-10 |
| 1164644126 | James Longo | Counselor | 365 Montauk Avenue, New London, CT 06320 | 2007-05-02 |
| 1265654248 | Christine Simeone | Social Worker | 365 Montauk Avenue, New London, CT 06320 | 2007-05-02 |
| 1154545754 | Alin Bortan | Internal Medicine | 365 Montauk Avenue, New London, CT 06320 | 2007-04-13 |
| 1780748871 | Lawrence and Memorial Hospital, Inc. | Rehabilitation Unit | 365 Montauk Avenue, New London, CT 06320 | 2006-12-21 |
| 1821152919 | Lawrence and Memorial Hospital, Inc. | Psychiatric Unit | 365 Montauk Avenue, New London, CT 06320 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184019804 | New London Hospital Inc | General Acute Care Hospital | 273 County Rd, New London, NH 03257-5736 | 2015-03-31 |
| 1700092459 | Lawrence and Memorial Hospital, Inc. | General Acute Care Hospital | 365 Montauk Ave, New London, CT 06320-4700 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1164815387 | Montefiore Hospital | General Acute Care Hospital | 15 Berrian Pl, Greenwich, CT 06830-6803 | 2015-03-12 |
| 1316295462 | Stamford Hospital | General Acute Care Hospital | 3 Cedargate Ln, Westport, CT 06880-3759 | 2012-08-21 |
| 1861756256 | Day Kimball Hospital | General Acute Care Hospital | 44 Hillcrest Dr, Vernon, CT 06066-4206 | 2012-06-29 |
| 1174830228 | Saint Raphael Hospital | General Acute Care Hospital | 1450, Chapel Street, Hospital of Saint Raphael, New Haven, CT 06511-2204 | 2010-09-10 |
| 1538485388 | University of Pittsburgh Medical Center | General Acute Care Hospital | 56 Hillside Pl, Apt 2, New Haven, CT 06511-3575 | 2010-04-19 |
| 1255586772 | Ynhh | General Acute Care Hospital | 56,hillside Pl., Apt No.2, New Haven, CT 06511 | 2008-11-25 |
| 1558511626 | Hartford Hospital | General Acute Care Hospital | 350 Russo Dr, Hamden, CT 06518-1757 | 2008-09-25 |
| 1932369907 | University of Connecticut Health Center | General Acute Care Hospital | 263 Farmington Ave # Mc-1119, Farmington, CT 06030-0001 | 2008-06-13 |
| 1316125107 | Ruben L Shapiro | General Acute Care Hospital | 15 Turnberry Ln, Bloomfield, CT 06002-2386 | 2008-02-05 |
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| City | NEW LONDON |
| Zip Code | 06320 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.