Basic Information
| Provider Information | |||||||||
| NPI: | 1619051547 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MC ANASPIE | ||||||||
| FirstName: | LAURIE | ||||||||
| MiddleName: | GARNETT | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PHYSICIAN ASSISTANT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 74 WOODCREST LN | ||||||||
| Address2: | |||||||||
| City: | DANBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068107159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032050584 | ||||||||
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| Practice Location | |||||||||
| Address1: | 146 DANBURY RD | ||||||||
| Address2: | |||||||||
| City: | NEW MILFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067763427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8603504000 | ||||||||
| FaxNumber: | 8603555581 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 001314 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.