IndividualActive
Lajaun Fogo
NPI 1740859305 · Nurse's Aide · Killingworth, CT
Provider details
- NPI number
- 1740859305
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- NA9993981 (CT)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
167 N Chestnut Hill Rd
Killingworth, CT 06419-1002
Phone: (860) 510-1709
Approximate (ZIP-level) locationGet directions
Mailing address
374 Broad St
New Britain, CT 06053-3960
Registry dates
- Enumerated
- 2021-06-18
- Last updated
- 2021-06-18
- Certified
- 2021-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.