LAUREN M LEWIS (Credential# 1340781) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LAUREN M LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055266. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 114 Woodland St, Hartford, CT 06105-1208. The current status is active.
| Licensee Name | LAUREN M LEWIS |
| Credential ID | 1340781 |
| Credential Number | 1.055266 |
| Credential Type | Physician/Surgeon |
| Business Address |
114 Woodland St Hartford CT 06105-1208 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-05-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1359350 | CSP.0063033 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 114 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1208 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie M Peck | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Frank I Jackson | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Diana Andres | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Kristina C Bystrak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2019-06-24 ~ 2022-06-23 |
| Helen Stolyar | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Alexander Almeida Larrea | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Kenneth Bryan Keplinger | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Pintoff | 114 Woodland St Ofc Casemgt, Hartford, CT 06105-1208 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Saadia Zafar Md | 114 Woodland St Flr 3, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
| Julie M Peck | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2019-07-01 |
| A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multi | Saint Francis Hospital and Medical Center, Hartford, CT 06105-1208 | Medical Marijuana Research Program | 2016-12-15 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| A Michael Coppa | 54 Lauren Ct, Cranston, RI 02921-3306 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Lauren M Athay Md | 34 Keyes St, Unionville, CT 06085-1120 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Ali Hemdan Md | 455 Lewis Ave., Meriden, CT 06451 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Amy B Lewis | 111 E 75th St Apt 3a, New York, NY 10021-2816 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Aurangzeb A Ali Md | 455 Lewis Ave Ste 216, Meriden, CT 06451 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren Ashley Penn | 100 Midland Ave, Port Chester, NY 10573-4943 | Physician/surgeon | ~ |
| Lauren Corinne Naliboff | 324 E 35th St Apt 4b, New York, NY 10016-3758 | Physician/surgeon | 2018-05-30 ~ 2019-04-30 |
| Lauren Jeffries | 40 Spruce Hill Dr, Guilford, CT 06437-1594 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Yousef Abouallaban | 10 Lauren Lane, Mansfield, MA 02048-1173 | Physician/surgeon | ~ 2016-08-31 |
| Lauren E Ferrante | 1 Pole Bridge Ln, Guilford, CT 06437-2206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on LAUREN M LEWIS.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).