Provider Demographics
NPI:1225001985
Name:SCHEINER, LAURIE (MD)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:SCHEINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-3322
Mailing Address - Country:US
Mailing Address - Phone:860-545-9300
Mailing Address - Fax:860-545-9301
Practice Address - Street 1:76 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3305
Practice Address - Country:US
Practice Address - Phone:860-545-9300
Practice Address - Fax:860-837-6801
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT032444208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT032444OtherPHYSICIAN SURGEON
CT20274OtherCONTROLLED SUBSTANCE
CT004236007Medicaid
CT001324441Medicaid
CT20274OtherCONTROLLED SUBSTANCE