NPI 1972592822 · live from the CMS NPI Registry
Lawrence J. Fortier, M.D.
Dermatology in Wethersfield, CT. National Provider Identifier 1972592822, active.
NPI record
| NPI | 1972592822 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 465 Silas Deane Hwy, Wethersfield, CT 06109 |
| Practice phone | 860-529-2500 |
| Enumerated | October 13, 2005 |
| Last updated | March 15, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 025854 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.