Individual provider · Type 1 NPI

Lewis Gordon Head, APRN

Family Nurse Practitioner · New London, CT

NPI number 1649840406 Active

Practice location

1 Shaws Cv
New London, CT 06320-4902

Mailing address

4B Woodview Dr
Ledyard, CT 06339-1676

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9749 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1649840406

Lewis Gordon Head, APRN's National Provider Identifier is 1649840406, issued on Jun 24, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New London, CT. The record was last updated on Jun 24, 2021.