Provider Demographics
NPI:1427206283
Name:SLONGWHITE, LAUREL NICOLE (MD)
Entity type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:NICOLE
Last Name:SLONGWHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 WHITNEY AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3695
Mailing Address - Country:US
Mailing Address - Phone:203-903-8308
Mailing Address - Fax:203-599-3927
Practice Address - Street 1:2200 WHITNEY AVE STE 290
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3695
Practice Address - Country:US
Practice Address - Phone:203-903-8308
Practice Address - Fax:203-599-3927
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT57236207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine