NPI 1851829972

Lauren Elaine Provini, MD

Practitioner Pediatric Dermatology Physician Madison, CT

Practice location

Address: 11 Woodland Rd STE 1, Madison, CT 06443-2380
Phone: (203) 421-2055
Fax: (203) 868-0882

Registered specialties

Pediatric Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 70873 (CT)

Other Dermatology providers in Connecticut →

Registry record

NPI: 1851829972
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2017
Record last updated: 6 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.