Rosa Lavoura
Individual provider Active NPI Pharmacist · Old Greenwich, CT
NPI 1457720005 · NPPES record last updated Sep 24, 2015
Key facts
- NPI
- 1457720005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0007872 (CT)
- Practice address
- 20 Maple Dr
Old Greenwich, CT 06870-1411 - Phone
- (203) 273-4054
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007872 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0007872 | CT | Yes |
Addresses
Primary practice location
20 Maple Dr
Old Greenwich, CT 06870-1411
Mailing address
20 Maple Dr
Old Greenwich, CT 06870-1411
Other providers in Old Greenwich, CT
- Christine Knorr
- Arnold B. Korval
- Nancy Joan Koury
- Elizabeth Z. Krowitz
- Lisa Kurian
- Inna Lazar
- Sarah Kate Leahey
- Samantha Leichtner
- Allison Lepontois
- Madeleine Lerose
All providers in Old Greenwich, CT · Pharmacist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.