LATIAHA NICHELLE LEWIS

EAST HARTFORD, CT
NPI1891411641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  11062)
Enumeration Date2022-10-13
Last Update Date2022-10-13
Business Address
LATIAHA NICHELLE LEWIS APRN
INTERCOMMUNITY, INC 281 MAIN STREET
EAST HARTFORD, CT 06118
Phone number: 860-569-5900
Mailing Address
LATIAHA NICHELLE LEWIS APRN
86 SUMMER HILL RD
MIDDLETOWN, CT 06457-5646
Phone number: 860-710-3104