Ciccone, Lori Lynn

Ciccone, Lori Lynn is an individual health care provider with primary practice located at 350 Goose Ln Ste 203B , Guilford CT 06437-2492. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Ciccone, Lori Lynn can be contacted via phone (203) 932-6481.

Contact Information

Primary practice address
350 Goose Ln Ste 203B Guilford CT 06437-2492
Phone: (203) 932-6481
Fax: (039) 324-0512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001888 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001888 Connecticut

Profile Details

NPI number 1205964426
LBN Legal business name Ciccone, Lori Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205964426 NPPES
Connecticut Other 001888 LIC

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