Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 052349 | CT |
NPI | 1225118631 |
---|---|
Provider Name | Laura J Morrison |
First Address | New Haven, CT 06510-3221 |
Second Address | New Haven, CT 06510-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 30/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
168950701 | (05) | TX |
H14093 | (02) |