Mrs Laura Lee Gavlak, RN is a
Registered Nurse based in Somers, Connecticut. Mrs Laura Lee Gavlak is licensed to practice in Connecticut (license number 112687) and her current practice location is
36 South Rd Ste B, Somers, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 265-3327.
NPI number for Mrs Laura Lee Gavlak is 1194469304 and her current mailing address is 36 South Rd Ste B, Somers, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194469304.
Provider's Profile
| Full Name | Mrs Laura Lee Gavlak |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 36 South Rd Ste B, Somers, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194469304
- Provider Enumeration Date: 04/24/2022
- Last Update Date: 10/27/2023
Medical Identifiers
Medical identifiers for Mrs Laura Lee Gavlak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194469304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 112687 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Laura Lee Gavlak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Laura Lee Gavlak, RN
36 South Rd Ste B,
Somers, CT 06071-2158
Ph: (860) 265-3327 | Mrs Laura Lee Gavlak, RN
36 South Rd Ste B,
Somers, CT 06071-2158
Ph: (860) 265-3327 |
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