Provider Demographics
NPI:1982990230
Name:MALONEY-FEILER, LAURYN S (PA-C)
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:S
Last Name:MALONEY-FEILER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LAUREEN
Other - Middle Name:
Other - Last Name:MALONEY-FEILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:99 KENNETH CIR
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2342
Mailing Address - Country:US
Mailing Address - Phone:203-488-2242
Mailing Address - Fax:
Practice Address - Street 1:99 KENNETH CIR
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2342
Practice Address - Country:US
Practice Address - Phone:203-488-2242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000496363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical