Active NPI 1972592822 Individual Practitioner Male Practitioner

Dr. Lawrence J. Fortier , MD

Dermatology • Wethersfield, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Fortier, MD is a certified Dermatology practicing in Wethersfield, CT. With approximately 50 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1976, Dr. Fortier delivers high-quality medical care to the local community at 465 SILAS DEANE HWY.

Dr. Fortier accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

465 Silas Deane Hwy

Wethersfield, CT 061092134

Telephone 8605292500

Fax 8605296899

Associated Practice Facility / Clinic

🏢 Pediaflex Therapy Center, Llc Facility NPI 1972686533

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Wethersfield, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs Matches City Avg

City Avg: 50.0 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Wethersfield, CT (261 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fortier (50 Years) 50 Yrs

Wethersfield Specialty Average (50.0 Years) 50.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	379	76	$10.73	$7.49
99213 Established patient office or other outpatient visit, typically 15 minutes	207	154	$144.24	$100.31
17000 Destruction of skin growth	114	80	$109.05	$58.31
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	91	70	$1092.04	$642.17
11102 Tangential biopsy of single skin lesion	89	68	$162.14	$108.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	60	48	$664.15	$464.36
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	52	40	$682.33	$362.28
11103 Biopsy of related skin growth, each additional growth	43	27	$80.84	$56.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	39	34	$753.38	$310.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	26	$90.36	$63.00
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	28	24	$636.56	$366.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	25	$393.45	$137.71
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	18	$1027.18	$717.71
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	20	13	$636.93	$445.32
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	19	18	$1218.06	$850.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$177.01	$123.77
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$278.14	$97.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	656	109	$11.06	$7.39
99213 Established patient office or other outpatient visit, typically 15 minutes	217	157	$145.13	$97.00
17000 Destruction of skin growth	157	110	$110.25	$57.26
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	125	83	$1114.27	$518.34
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	124	70	$678.46	$453.45
11102 Tangential biopsy of single skin lesion	106	78	$168.24	$109.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	55	$91.28	$61.08
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	63	47	$700.26	$319.51
11103 Biopsy of related skin growth, each additional growth	51	35	$83.13	$55.55
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	49	26	$649.45	$434.63
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	49	36	$1046.96	$685.67
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	45	38	$1239.51	$828.20
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	30	26	$655.91	$321.42
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	25	22	$774.80	$300.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$180.21	$120.52
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	17	$1249.55	$829.86
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	14	$283.43	$94.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$402.44	$134.46
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$116.90	$78.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	748	124	$11.40	$7.63
99213 Established patient office or other outpatient visit, typically 15 minutes	279	183	$147.69	$98.74
17000 Destruction of skin growth	207	133	$111.99	$60.63
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	147	78	$684.11	$458.32
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	124	93	$1118.64	$495.52
11102 Tangential biopsy of single skin lesion	113	83	$173.09	$113.25
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	61	53	$1247.58	$835.34
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	61	53	$715.07	$305.99
11103 Biopsy of related skin growth, each additional growth	58	37	$86.01	$57.65
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	46	34	$1052.27	$697.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$92.54	$61.89
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	38	22	$655.28	$438.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$182.27	$121.66
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	19	$670.41	$321.42
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	15	$1258.65	$843.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	14	$789.66	$316.59
17004 Destruction of precancer skin growth, 15 or more growths	14	11	$282.54	$188.95
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$289.56	$97.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	760	138	$10.99	$7.38
99213 Established patient office or other outpatient visit, typically 15 minutes	299	218	$148.54	$100.14
17000 Destruction of skin growth	219	149	$109.88	$60.19
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	172	111	$1124.29	$463.43
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	170	94	$685.47	$462.96
11102 Tangential biopsy of single skin lesion	118	88	$175.23	$116.45
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	100	75	$1248.73	$842.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	63	$92.18	$61.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	66	46	$725.07	$304.28
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	60	37	$655.71	$443.30
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	58	45	$1055.64	$701.34
11103 Biopsy of related skin growth, each additional growth	58	36	$88.62	$59.82
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	26	$678.55	$347.99
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	27	$1258.89	$832.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$182.26	$123.09
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	14	$413.35	$139.43
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	15	$797.38	$320.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	787	157	$10.07	$6.78
99213 Established patient office or other outpatient visit, typically 15 minutes	359	253	$122.64	$82.26
17000 Destruction of skin growth	248	166	$108.63	$61.46
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	155	111	$1106.36	$474.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	149	89	$665.52	$447.46
11102 Tangential biopsy of single skin lesion	119	90	$168.03	$111.53
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	82	65	$1258.88	$834.57
11103 Biopsy of related skin growth, each additional growth	59	40	$89.21	$59.82
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	56	48	$718.85	$305.80
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	40	30	$1038.23	$653.71
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	30	29	$1276.47	$856.00
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	25	17	$636.51	$428.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$177.44	$119.27
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	20	19	$671.16	$337.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$74.90	$50.48
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$124.62	$83.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$412.38	$138.45
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	12	12	$218.60	$146.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,017	199	$9.50	$6.31
99213 Established patient office or other outpatient visit, typically 15 minutes	564	368	$121.41	$80.64
17000 Destruction of skin growth	315	212	$108.83	$62.47
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	230	127	$664.43	$441.52
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	225	175	$1117.64	$473.68
11102 Tangential biopsy of single skin lesion	128	100	$165.77	$108.01
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	120	101	$1271.97	$844.61
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	98	83	$721.88	$301.04
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	72	54	$1046.00	$670.98
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	58	31	$634.65	$421.74
11103 Biopsy of related skin growth, each additional growth	45	33	$89.30	$59.34
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$125.28	$83.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$74.30	$49.41
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	34	31	$671.49	$328.17
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	31	30	$1294.05	$859.96
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	31	23	$222.00	$147.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	21	$415.86	$144.19
17004 Destruction of precancer skin growth, 15 or more growths	20	16	$253.82	$168.71
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	16	14	$203.52	$135.24
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	15	$803.12	$302.43
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$281.99	$93.70
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	11	11	$1167.83	$776.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,665	258	$8.90	$5.84
17000 Destruction of skin growth	420	266	$110.51	$60.84
99213 Established patient office or other outpatient visit, typically 15 minutes	406	322	$119.48	$78.43
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	284	221	$1106.73	$439.20
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	268	162	$652.37	$427.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	177	$175.95	$116.01
11100 Biopsy of single growth of skin and/or tissue	184	145	$177.02	$115.27
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	141	117	$1270.73	$826.61
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	115	81	$715.08	$291.66
11101 Biopsy of each additional growth of skin and/or tissue	107	68	$54.30	$35.62
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	91	66	$1035.92	$668.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	77	$72.41	$47.50
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	64	58	$1294.59	$836.23
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	61	38	$623.30	$408.88
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	44	35	$222.36	$145.87
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	42	38	$663.56	$310.92
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$123.35	$80.91
17004 Destruction of precancer skin growth, 15 or more growths	34	31	$241.53	$158.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$177.33	$116.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	18	$416.54	$136.63
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	14	$280.47	$91.99
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	17	12	$203.90	$133.76
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	15	14	$1573.44	$1032.37
69100 Biopsy of ear	13	12	$169.20	$85.47
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$73.68	$48.33
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	12	12	$1164.14	$763.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,428	432	$25.88	$6.04
17000 Destruction of skin growth	676	453	$100.33	$58.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	623	475	$160.74	$111.61
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	443	225	$592.23	$413.97
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	365	266	$939.48	$421.91
11100 Biopsy of single growth of skin and/or tissue	329	254	$145.70	$109.70
99213 Established patient office or other outpatient visit, typically 15 minutes	202	182	$100.21	$76.09
11101 Biopsy of each additional growth of skin and/or tissue	187	113	$57.08	$34.52
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	180	147	$1033.57	$807.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$150.26	$113.06
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	104	87	$595.73	$307.71
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	86	66	$927.59	$593.15
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	83	45	$577.81	$397.35
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	71	64	$1032.97	$823.00
17004 Destruction of precancer skin growth, 15 or more growths	56	43	$262.35	$159.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	56	48	$527.13	$323.45
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	51	46	$184.62	$137.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$68.53	$45.71
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	26	20	$1515.91	$1001.15
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	26	20	$152.07	$119.83
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$414.77	$140.76
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	15	15	$1114.78	$740.17

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CT 025854

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001258540 (CT)

Commercial Insurance / Payer ID Anthem Bc/bs

010025854CT01 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Elizabeth Cho , MS, OTR, L

Occupational Therapist

NPI 1508379637

Master of Science, Occupational Therapist Registered, L

Melissa Broxton , OTR

Occupational Therapist - Pediatrics

NPI 1528187267

Occupational Therapist Registered

Vicki Holbrook Duran , MA

Speech-Language Pathologist

NPI 1578948154

Master of Arts

Mary Schoen

Speech-Language Pathologist

NPI 1598043481

Dr. John Conroy , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1639295983

Doctor of Dental Medicine, Master of Science

Elissa Maruca

Developmental Therapist

NPI 1679755813

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active March 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2017

Registered at 465 SILAS DEANE HWY, WETHERSFIELD, CT 061092134 (Tel: 8605292500)

📍

Updated Business Mailing Address March 15, 2017

Registered at 465 SILAS DEANE HWY, WETHERSFIELD, CT 061092134 (Tel: 8605292500)

👤

Provider Name / Credentials Updated March 15, 2017

Recorded as LAWRENCE FORTIER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Dermatology (License #025854 in CT)

✅

NPI Profile Active January 13, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2010

Registered at 465 SILAS DEANE HWY, WETHERSFIELD, CT 061092134 (Tel: 8605292500)

📍

Updated Business Mailing Address January 13, 2010

Registered at 465 SILAS DEANE HWY, WETHERSFIELD, CT 061092134 (Tel: 8605292500)

👤

Provider Name / Credentials Updated January 13, 2010

Recorded as LAWRENCE FORTIER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2010

Specialist (License #025854 in CT)

🟢

Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972592822

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 13, 2005

Last Update: March 15, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

465 Silas Deane Hwy

Wethersfield, CT 061092134

Phone: 8605292500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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