Susan Lachs, APRN

Individual provider Active NPI Nurse Practitioner · Weston, CT

NPI 1669902854 · NPPES record last updated Jun 19, 2017

Key facts

NPI
1669902854
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
3557 (CT)
Practice address
33 Ridge Rd
Weston, CT 06883-2106
Phone
(203) 803-0333
NPI assigned
Jun 19, 2017
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

LicenseStateTypeSpecialty
3557CTMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3557 CT Yes

Addresses

Primary practice location

33 Ridge Rd
Weston, CT 06883-2106

Mailing address

33 Ridge Rd
Weston, CT 06883-2106

Other providers in Weston, CT

All providers in Weston, CT · Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.