Organization
SHORELINE PSYCHIATRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARIE LAZZARINI M.D. (PRESIDENT)
(203) 871-1357
Entity
Organization
Contact information
Practice address
226 E MAIN ST, BRANFORD, CT 06405-3103
(203) 871-1357
(203) 488-5034
Mailing address
226 E MAIN ST, BRANFORD, CT 06405-3103
(203) 871-1357
(203) 488-5034
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
034237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001342378
—
CT
Enumeration date
05/20/2015
Last updated
05/20/2015
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