Provider Demographics
NPI:1619051547
Name:MC ANASPIE, LAURIE GARNETT (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:GARNETT
Last Name:MC ANASPIE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:74 WOODCREST LN
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7159
Mailing Address - Country:US
Mailing Address - Phone:203-205-0584
Mailing Address - Fax:
Practice Address - Street 1:146 DANBURY RD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3427
Practice Address - Country:US
Practice Address - Phone:860-350-4000
Practice Address - Fax:860-355-5581
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001314363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP89944Medicare UPIN