Look up the most recent NPI and PECOS records

Kendra Stout Lawrence

Internal Medicine

Allopathic & Osteopathic Physicians

179 Columbus Blvd, New Britain, CT 06051-2264

PECOS Enrollment

This provider is enrolled in PECOS as KENDRA LAWRENCE.

Based on the most recent information from CMS, provider Kendra Stout Lawrence is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1861415762
Provider Type
Individual
Full Name
Lawrence, Kendra Stout
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/25/2006
Last Updated
9/5/2024

Contact Information

Practice Location

179 Columbus Blvd, New Britain, CT 06051-2264

(860) 356-2557

(860) 261-0839

Mailing Location

PO Box 745254, Atlanta, GA 30374-5254

(773) 352-1519

(312) 929-0373

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 039642 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 004179033	Description Medicaid	Issuer Unlisted Connecticut

Kendra Stout Lawrence

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Bhatnagar, Sudhir K

Sheikh, Seemab

Lewis, Jennifer R

Jafri, Askari H

Sittambalam, Earle J

Ohara, James M

Sudhir K. Bhatnagar, Md Inc

Starling Physicians Pc

Alberti, Alfred Richard

Yoder, David Anthony