Individual
MRS. LORI ANN BRYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
2701 TAMARACK AVE, SOUTH WINDSOR, CT 06074-5562
(860) 647-8282
(860) 647-8399
Mailing address
2701 TAMARACK AVE, SOUTH WINDSOR, CT 06074-5562
(860) 647-8282
(860) 647-8399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000605
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000605
CONNECTICARE
—
01
—
00420008601
ANTHEM BLUE CROSS
—
01
—
0V7257
PHS
CT
Enumeration date
11/01/2006
Last updated
10/04/2024
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