Provider Demographics
NPI:1932487238
Name:REDDINGTON, LAURA F (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:F
Last Name:REDDINGTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:M
Other - Last Name:FINNUCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:100 GRAND ST
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-2016
Mailing Address - Country:US
Mailing Address - Phone:203-592-1116
Mailing Address - Fax:
Practice Address - Street 1:100 GRAND ST
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-2016
Practice Address - Country:US
Practice Address - Phone:203-592-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2608363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical