IndividualActive
Stephen Wardlaw, M.D.
NPI 1114150679 · Research Study Specialist · Lyme, CT
Provider details
- NPI number
- 1114150679
- Entity type
- Individual
- Primary specialty
- Research Study SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13973 (CT)
Mailing address
1 Highrock
Lyme, CT 06371-3450
Registry dates
- Enumerated
- 2009-09-01
- Last updated
- 2009-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.